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传染病分子诊断的快速方法:当前趋势与应用

Rapid methods for the molecular diagnosis of infectious diseases: current trends and applications.

作者信息

Miotti P G

机构信息

Department of Pediatrics, John Hopkins University School of Medicine, Baltimore, MD 21205.

出版信息

Eur J Epidemiol. 1987 Dec;3(4):356-64. doi: 10.1007/BF00145645.

Abstract

Methods for the rapid diagnosis of infectious diseases have become increasingly common in the last decade. The impetus for the development of such techniques has stemmed from the need to provide clinically relevant information without the length of time and complexity inherent to traditional cultivation methods. This is particularly important in high-risk populations for which more effective antibiotics and antiviral compounds are now available. Assay systems for the immunological detection of microbial agents occupy a central role in the molecular diagnosis of infectious diseases and are rapidly appearing on the market. Novel methods of organism detection by nucleic acid hybridization, long considered usable only in highly specialized laboratories, have the potential for use in routine microbiological laboratories and some systems are now commercially available. As more efficient and rapid diagnostics systems are being developed, the selection of the optimal method will depend on the environment in which the system is to be used. Rapid methods for the detection of infectious agents might markedly improve health care in a variety of clinical, laboratory and epidemiologic situations.

摘要

在过去十年中,传染病快速诊断方法已变得越来越普遍。开发此类技术的动力源于需要在不具备传统培养方法所固有的长时间和复杂性的情况下提供临床相关信息。这在高危人群中尤为重要,因为现在有了更有效的抗生素和抗病毒化合物。用于微生物免疫检测的分析系统在传染病分子诊断中占据核心地位,并且正在迅速进入市场。长期以来被认为仅在高度专业化实验室中可用的通过核酸杂交进行生物体检测的新方法,有在常规微生物实验室中使用的潜力,并且一些系统现在已商业化。随着更高效、快速的诊断系统不断开发,最佳方法的选择将取决于该系统的使用环境。在各种临床、实验室和流行病学情况下,快速检测传染病原体的方法可能会显著改善医疗保健。

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