Molecular methods for the diagnosis of infectious disease are playing
an increasingly important role in the clinical microbiology laboratory
, Commercial nucleic acid probe assays have come into use in many labo
ratories for culture confirmation as well as the direct detection of i
nfectious organisms in clinical samples, Amplified nucleic acid techno
logies such as polymerase chain reaction, transcription mediated ampli
fication, and ligase chain reaction have recently been used to develop
commercial kit assays that are just starting to enter the clinical la
boratory. The amplified assays are often more sensitive than tradition
al microbiological techniques and can quickly detect such microorganis
ms as Mycobacterium tuberculosis, Chlamydia trachomatis,and HIV-1 in c
linical samples, Although some challenges remain in the implementation
of these assays in the routine laboratory, these tests will soon be w
idely used in conjunction with existing microbiology methods, Molecula
r methods will eventually replace some of the traditional methods and
will dramatically accelerate and improve the diagnosis of infectious d
iseases.