Analytical and Bioanalytical Chemistry

, Volume 394, Issue 3, pp 731-742

First online:

Current applications and future trends of molecular diagnostics in clinical bacteriology

  • Jan WeileAffiliated withDepartment of Laboratory Medicine and Molecular Diagnostics, Robert-Bosch-HospitalDr. Margarete Fischer-Bosch Institute for Clinical Pharmacology Email author 
  • , Cornelius KnabbeAffiliated withDepartment of Laboratory Medicine and Molecular Diagnostics, Robert-Bosch-Hospital

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Molecular diagnostics of infectious diseases, in particular, nucleic-acid-based methods, are the fastest growing field in clinical laboratory diagnostics. These applications are stepwise replacing or complementing culture-based, biochemical, and immunological assays in microbiology laboratories. The first-generation nucleic acid assays were monoparametric such as conventional tests, determining only a single parameter. Improvements and new approaches in technology now open the possibility for the development of multiparameter assays using microarrays, multiplex nucleic acid amplification techniques, or mass spectrometry, while the introduction of closed-tube systems has resulted in rapid microbial diagnostics with a subsequently reduced contamination risk. Whereas the first assays were focused on the detection and identification of microbial pathogens, these new technologies paved the way for the parallel determination of multiple antibiotic resistance determinants or to perform microbial epidemiology and surveillance on a genetic level.


Molecular diagnostics Real-time PCR Nucleic acid amplification technique Microarray Sequencing Mass spectrometry Antibiotic resistance