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临床微生物学中的核酸诊断技术

[Nucleic-acid based diagnostics in clinical microbiology].

作者信息

Kalland Karl-Henning, Myrmel Helge, Nordbø Svein Arne

机构信息

Avdeling for mikrobiologi og immunologi, Gades Institutt, Bygg for biologiske basalfag, Universitetet i Bergen, Jonas Lies vei 91, 5009 Bergen.

出版信息

Tidsskr Nor Laegeforen. 2005 Nov 17;125(22):3110-4.

Abstract

BACKGROUND

Detection of nucleic acids from infectious agents now has a fundamental role in diagnostic microbiology laboratories. Nucleic acid amplification methods have promoted this development.

MATERIAL AND METHODS

In this study we give a review of the field based on searches in Medline and our own experience.

RESULTS AND INTERPRETATION

Nucleic acid sequencing, hybridisation and electrophoresis complement the gene technology available for microbiological diagnosis. Recently, equipment for automated extraction of nucleic acids and real-time quantitative PCR has contributed to faster, more reliable and robust nucleic acid detection. An increasing number of microbiological agents and virulence genes can now be diagnosed in a variety of patient samples and supplemented with additional nucleic acid-based methods for genotyping and quantitative monitoring of drug resistance and therapeutic response.

摘要

背景

在诊断微生物学实验室中,检测感染因子的核酸目前具有重要作用。核酸扩增方法推动了这一发展。

材料与方法

在本研究中,我们基于对医学文献数据库(Medline)的检索及自身经验对该领域进行综述。

结果与解读

核酸测序、杂交和电泳完善了可用于微生物诊断的基因技术。最近,核酸自动提取设备和实时定量聚合酶链反应(PCR)有助于实现更快、更可靠且更稳定的核酸检测。如今,越来越多的微生物病原体和毒力基因能够在各种患者样本中得到诊断,并且可以辅以其他基于核酸的方法进行基因分型以及耐药性和治疗反应的定量监测。

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