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Abstract

Vol.66 No.6 November 2018

Nucleic acid tests and advanced management of infectious diseases

Katsunori Yanagihara, Yoshitomo Morinaga, Yuki Iwanaga, Hitomi Yamakawa, Yuya Okada, Yumiko Kimura, Norihiko Akamatsu, Norihito Kaku, Naoki Uno and Kosuke Kosai

Department of Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Japan

Abstract

Steady advances have been made in the development of nucleic acid tests in the field of clinical microbiology. Standardization of the methodologies and simplification of procedures could promote routine use of these methods. The nucleic acid tests can provide high specificity and a fine detection limit, as well as additional indications in targeted microorganisms. Several issues, such as the cost for the tests and the possibility of overdiagnosis should be continuously evaluated; however, rapid and accurate diagnosis using these methods can enhance antimicrobial stewardship. Harmonization between the conventional and the nucleic acid tests may be expected to improve the quality of management of infectious diseases.

Key word

polymerase chain reaction, multiple-target nucleic acid test, molecular diagnosis

Received

April 13, 2018

Accepted

June 11, 2018

Jpn. J. Chemother. 66 (6): 729-737, 2018