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Quality Control:
Molecular Diagnostics
Molecular Diagnostics Quality Control - Module 8 2
2
Overview
 Sample Collection, Transport, and Processing
 maintain Nucleic acid integrity through these
processes
 Contamination Control
 establish a unidirectional work flow from a
DNA-free area for reagent preparation, to a
sample processing area, to area where
amplification and detection occur
 Positive and Negative Controls
 Reference: CLSI MM3-A (Molecular Diagnostic
Methods for Infectious Diseases)
Molecular Diagnostics Quality Control - Module 8 3
3
Quality Control:
Molecular Diagnostics
Molecular Diagnostics Quality Control - Module 8 5
5
Real Time PCR
SAMPLE
PRIMER
Taq polymerase
Amplified
Target NA
SYBR Green
Quantitative
Fluorescence
+ - In
Molecular Diagnostics Quality Control - Module 8 6
6
Amplification Reactions
Amplification / Time
POSITIVE
NO AMPLIFICATION
Molecular Diagnostics Quality Control - Module 8 7
7
Real Time RT-PCR
Molecular Diagnostics Quality Control - Module 8 8
8
A/H3
Molecular Diagnostics Quality Control - Module 8 9
9
A/H5
Molecular Diagnostics Quality Control - Module 8 11
11
Risks with PCR
 most RT-PCR is still done as “in-
house” or “home-brew”
primers are not necessarily optimized to
test
positive controls are “in-house”
negative controls are “in-house”
 interpretation of tests need to be
done with caution

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Cd rom 8_optional_molecular_qc

  • 2. Molecular Diagnostics Quality Control - Module 8 2 2 Overview  Sample Collection, Transport, and Processing  maintain Nucleic acid integrity through these processes  Contamination Control  establish a unidirectional work flow from a DNA-free area for reagent preparation, to a sample processing area, to area where amplification and detection occur  Positive and Negative Controls  Reference: CLSI MM3-A (Molecular Diagnostic Methods for Infectious Diseases)
  • 3. Molecular Diagnostics Quality Control - Module 8 3 3 Quality Control: Molecular Diagnostics
  • 4. Molecular Diagnostics Quality Control - Module 8 5 5 Real Time PCR SAMPLE PRIMER Taq polymerase Amplified Target NA SYBR Green Quantitative Fluorescence + - In
  • 5. Molecular Diagnostics Quality Control - Module 8 6 6 Amplification Reactions Amplification / Time POSITIVE NO AMPLIFICATION
  • 6. Molecular Diagnostics Quality Control - Module 8 7 7 Real Time RT-PCR
  • 7. Molecular Diagnostics Quality Control - Module 8 8 8 A/H3
  • 8. Molecular Diagnostics Quality Control - Module 8 9 9 A/H5
  • 9. Molecular Diagnostics Quality Control - Module 8 11 11 Risks with PCR  most RT-PCR is still done as “in- house” or “home-brew” primers are not necessarily optimized to test positive controls are “in-house” negative controls are “in-house”  interpretation of tests need to be done with caution