Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them
Despite recent advances during the last few years, microbiological diagnosis of prosthetic joint infections remains a challenge. Molecular biology techniques have been developed to try to overcome this problem, and recently, many of them have become available for many laboratories. Some of them, esp...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-12-01
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| Series: | Prosthesis |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-1592/5/1/1 |
| _version_ | 1797858372912939008 |
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| author | Llanos Salar-Vidal Álvaro Auñón Jaime Esteban |
| author_facet | Llanos Salar-Vidal Álvaro Auñón Jaime Esteban |
| author_sort | Llanos Salar-Vidal |
| collection | DOAJ |
| description | Despite recent advances during the last few years, microbiological diagnosis of prosthetic joint infections remains a challenge. Molecular biology techniques have been developed to try to overcome this problem, and recently, many of them have become available for many laboratories. Some of them, especially commercial multiplex PCR-based assays and universal 16S rDNA homemade PCR assays, are now available in many laboratories. Moreover, new technologies have appeared, especially metagenomics and next-generation sequencing. These techniques have demonstrated their potential in many studies but appear to be experimental at present. A few studies have evaluated the possible use of these methods in the clinical routine, and a review of the critical aspects for the selection of a molecular method (accuracy, complexity, cost) was performed. Finally, a proposal for a protocol that includes molecular biology techniques was made according to the literature published in this field. In conclusion, molecular biology techniques are ready to be used in the clinical routine of a microbiology laboratory, but their use must be carried out in accordance with the many special characteristics of each laboratory. In all cases, the interpretation of the results must be conducted by a multidisciplinary team with experience in the management of these patients. |
| first_indexed | 2024-04-09T21:12:23Z |
| format | Article |
| id | doaj.art-bdca897cfb7b41f1b4f9b5b0a3fb544a |
| institution | Directory Open Access Journal |
| issn | 2673-1592 |
| language | English |
| last_indexed | 2024-04-09T21:12:23Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Prosthesis |
| spelling | doaj.art-bdca897cfb7b41f1b4f9b5b0a3fb544a2023-03-28T14:39:13ZengMDPI AGProsthesis2673-15922022-12-015111210.3390/prosthesis5010001Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use ThemLlanos Salar-Vidal0Álvaro Auñón1Jaime Esteban2Department of Clinical Microbiology, IIS-Fundacion Jimenez Diaz, UAM: CIBERINFEC-CIBER de Enfermedades Infecciosas, 28040 Madrid, SpainDepartment of Orthopaedic and Trauma Surgery, IIS-Fundacion Jimenez Diaz, UAM: CIBERINFEC-CIBER de Enfermedades Infecciosas, 28040 Madrid, SpainDepartment of Clinical Microbiology, IIS-Fundacion Jimenez Diaz, UAM: CIBERINFEC-CIBER de Enfermedades Infecciosas, 28040 Madrid, SpainDespite recent advances during the last few years, microbiological diagnosis of prosthetic joint infections remains a challenge. Molecular biology techniques have been developed to try to overcome this problem, and recently, many of them have become available for many laboratories. Some of them, especially commercial multiplex PCR-based assays and universal 16S rDNA homemade PCR assays, are now available in many laboratories. Moreover, new technologies have appeared, especially metagenomics and next-generation sequencing. These techniques have demonstrated their potential in many studies but appear to be experimental at present. A few studies have evaluated the possible use of these methods in the clinical routine, and a review of the critical aspects for the selection of a molecular method (accuracy, complexity, cost) was performed. Finally, a proposal for a protocol that includes molecular biology techniques was made according to the literature published in this field. In conclusion, molecular biology techniques are ready to be used in the clinical routine of a microbiology laboratory, but their use must be carried out in accordance with the many special characteristics of each laboratory. In all cases, the interpretation of the results must be conducted by a multidisciplinary team with experience in the management of these patients.https://www.mdpi.com/2673-1592/5/1/1diagnosismolecular biologyPCRnext-generation sequencingmetagenomicscost |
| spellingShingle | Llanos Salar-Vidal Álvaro Auñón Jaime Esteban Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them Prosthesis diagnosis molecular biology PCR next-generation sequencing metagenomics cost |
| title | Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them |
| title_full | Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them |
| title_fullStr | Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them |
| title_full_unstemmed | Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them |
| title_short | Molecular Diagnosis of Osteoarticular Implant-Associated Infection: Available Techniques and How We Can Use Them |
| title_sort | molecular diagnosis of osteoarticular implant associated infection available techniques and how we can use them |
| topic | diagnosis molecular biology PCR next-generation sequencing metagenomics cost |
| url | https://www.mdpi.com/2673-1592/5/1/1 |
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