Résumé
Le diagnostic des infections bactériennes repose sur l’isolement du pathogène, qui ne peut pas être réalisé dans le temps du soin. Egalement, la culture est mal adaptée au diagnostic des infections polymicrobiennes. Une alternative est la détection de séquences ADN spécifiques dans l’échantillon clinique par les puces à ADN. La première utilisation des puces à ADN en tant qu’outil diagnostic date de 1995. Cette revue porte sur la mise au point de différentes puces à ADN pour la détection des bactéries pathogènes au cours des infections respiratoires, digestives et systémiques. Ces études ont permis de montrer que les puces à ADN sont un outil fiable, rapide et reproductible pour le diagnostic des maladies infectieuses d’origine bactérienne. Le coût et la technicité demeurent deux freins au déploiement en routine de cette technologie pour le diagnostic des infections bactériennes.
Mots clés: Infections bactérienne, diagnostic, puce ADN
Abstract
The diagnosis of bacterial infections relies on isolation of the pathogen, which cannot be achieved in the time of care. Also, culture is poorly suited to the diagnosis of polymicrobial infections. An alternative is the detection of specific DNA sequences in clinical specimen by DNA microarrays. The first use of microarrays as a diagnostic tool dates from 1995. This review focuses on the development of different DNA chips for diagnosing bacterial infections such as respiratory, digestive or systemic diseases. These studies demonstrated that DNA microarrays are a reliable, rapid and reproducible for the diagnosis of infectious diseases caused by bacteria. High cost and technicity are two limits for the actual use of DNA microarray for the routine diagnosis of bacterial infections.
Keywords: Bacterial infections, diagnosis, DNA microarray
Contributor Information
E. Donatin, Email: emilie.donatin@gmail.com
M. Drancourt, Email: Michel.Drancourt@univmed.fr
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