Versalovic James, Lupski James R
Dept of Pathology, Baylor College of Medicine, Houston, TX 77030, USA.
Trends Microbiol. 2002;10(10 Suppl):S15-21. doi: 10.1016/s0966-842x(02)02438-1.
Rapid molecular methods have enhanced the capabilities of laboratories to identify and characterize microbial pathogens in greater detail. Nucleic acid amplification strategies and advances in amplicon detection have been key aspects in the progress of molecular microbiology. Sophisticated new amplification-detection combinations are resulting in many applications in laboratory testing for infectious diseases. These applications include qualitative detection, sub-species-level DNA fingerprinting, molecular resistance testing and genotyping, and quantitative (viral load) testing. When applied selectively in the laboratory, these applications can enhance diagnostic approaches and clinical management and will probably evolve into standard laboratory and point-of-care testing protocols.
快速分子方法增强了实验室更详细地鉴定和表征微生物病原体的能力。核酸扩增策略和扩增子检测技术的进步一直是分子微生物学发展的关键方面。先进的新型扩增-检测组合在传染病实验室检测中得到了广泛应用。这些应用包括定性检测、亚种水平的DNA指纹分析、分子耐药性检测和基因分型以及定量(病毒载量)检测。当在实验室中选择性应用时,这些应用可以改进诊断方法和临床管理,并且可能会发展成为标准的实验室检测和即时检测方案。