Page 55 - Clinical Biochemistry
P. 55

Clinical utility:
Previous failure of DAA containing regimen
Targetted testing for particular RAVs in patients with specific genotypes
Next generation sequencing:

                                 Figure 26: Next generation sequencing

• Simultaneous sequencing of millions of targets
• Whole genomes
• Quasispecies
• Relative abundance of particular SNPs
• Even minor populations
• Clinical significance of minor populations?

Improving point of care diagnostics

Most HBV and HCV infected individuals are unaware of their status

                            Figure 27: Improving point of care diagnostics

Viral nucleic acid   Isothermal           Naked eye detection
                    amplification

RNA or DNA          Robust
                    Simple equipment
                    Tolerates inhibitors
                    Masses of product
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