Methods using the artificial amplification of nucleic acids or signals after hybridization
are a new advantage in the diagnosis of genital infections with Chlamydia trachomatis. Commercially available nucleic acid amplification (NAA) assays have provided laboratories
with powerful tools having a particular impact in the detection of genital chlamydial
and gonococcal infections. Compared with cell culture methodologies and other techniques,
NAA assays such as ligase chain reaction (LCR), polymerase chain reaction (PCR), and
transcription-mediated amplification (TMA) have shown a performance pattern with a
higher sensitivity for invasive and noninvasive sample types and a high specificity
when compared with culture. This means that enzyme immunoassays (EIAs) and immunofluorescence
techniques, used for many years for the routine diagnosis of genital chlamydial infections,
are now more and more substituted by NAA assays.
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© 2002 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.