Metagenomic testing

Scientists have developed a single clinical laboratory test capable of zeroing in on the microbial miscreant afflicting a patient in as little as 6 hours – irrespective of what body fluid is sampled, the type or species of infectious agent, or whether physicians start out with any clue as to what the culprit may be.

The test will be a lifesaver, speeding appropriate drug treatment for the seriously ill, and should transform the way infectious diseases are diagnosed. Conventional diagnostic tests are designed to detect only 1 or sometimes a small panel of potential pathogens. In contrast, the new protocol employs powerful “next-generation” DNA-sequencing technology to account for all DNA in a sample, which may be from any species – human, bacterial, viral, parasitic, or fungal. Clinicians do not need to have a suspect in mind. To identify a match, the new test relies on specially developed analytical software to compare DNA sequences in the sample to massive genomic databases covering all known pathogens.

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