PMID- 28129707 OWN - NLM STAT- MEDLINE DCOM- 20170315 LR - 20220408 IS - 1549-7828 (Electronic) IS - 1040-841X (Linking) VI - 43 IP - 3 DP - 2017 May TI - Fluorescence in situ hybridization (FISH) in the microbiological diagnostic routine laboratory: a review. PG - 263-293 LID - 10.3109/1040841X.2016.1169990 [doi] AB - Early identification of microbial pathogens is essential for rational and conservative antibiotic use especially in the case of known regional resistance patterns. Here, we describe fluorescence in situ hybridization (FISH) as one of the rapid methods for easy identification of microbial pathogens, and its advantages and disadvantages for the diagnosis of pathogens in human infections in the laboratory diagnostic routine. Binding of short fluorescence-labeled DNA or nucleic acid-mimicking PNA probes to ribosomes of infectious agents with consecutive analysis by fluorescence microscopy allows identification of bacterial and eukaryotic pathogens at genus or species level. FISH analysis leads to immediate differentiation of infectious agents without delay due to the need for microbial culture. As a microscopic technique, FISH has the unique potential to provide information about spatial resolution, morphology and identification of key pathogens in mixed species samples. On-going automation and commercialization of the FISH procedure has led to significant shortening of the time-to-result and increased test reliability. FISH is a useful tool for the rapid initial identification of microbial pathogens, even from primary materials. Among the rapidly developing alternative techniques, FISH serves as a bridging technology between microscopy, microbial culture, biochemical identification and molecular diagnostic procedures. FAU - Frickmann, Hagen AU - Frickmann H AD - a German Armed Forces Hospital of Hamburg, Department of Tropical Medicine at the Bernhard Nocht Institute , Hamburg , Germany. FAU - Zautner, Andreas Erich AU - Zautner AE AD - b Department of Medical Microbiology, University Medical Center Gottingen , Gottingen , Germany. FAU - Moter, Annette AU - Moter A AD - c University Medical Center Berlin, Biofilmcenter at the German Heart Institute Berlin , Berlin , Germany. FAU - Kikhney, Judith AU - Kikhney J AD - c University Medical Center Berlin, Biofilmcenter at the German Heart Institute Berlin , Berlin , Germany. FAU - Hagen, Ralf Matthias AU - Hagen RM AD - a German Armed Forces Hospital of Hamburg, Department of Tropical Medicine at the Bernhard Nocht Institute , Hamburg , Germany. FAU - Stender, Henrik AU - Stender H AD - d Stender Diagnostics , Gentofte , Denmark. FAU - Poppert, Sven AU - Poppert S AD - e Institute for Medical Microbiology, Justus-Liebig-University Giessen , Giessen , Germany. LA - eng PT - Journal Article PT - Review DEP - 20170127 PL - England TA - Crit Rev Microbiol JT - Critical reviews in microbiology JID - 8914274 RN - 0 (Fluorescent Dyes) SB - IM MH - Bacteria/*genetics/pathogenicity MH - Bacterial Infections/*microbiology MH - Biofilms MH - Fluorescent Dyes MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Microbiological Techniques/*methods MH - Mouth Diseases/microbiology MH - Mycobacterium/genetics/pathogenicity MH - Permeability MH - Respiratory Tract Infections/diagnosis/microbiology MH - Tissue Fixation MH - Virus Diseases/virology MH - Wound Infection/microbiology OTO - NOTNLM OT - Fluorescence in situ hybridization OT - rapid diagnostics of infectious diseases EDAT- 2017/01/29 06:00 MHDA- 2017/03/16 06:00 CRDT- 2017/01/29 06:00 PHST- 2017/01/29 06:00 [pubmed] PHST- 2017/03/16 06:00 [medline] PHST- 2017/01/29 06:00 [entrez] AID - 10.3109/1040841X.2016.1169990 [doi] PST - ppublish SO - Crit Rev Microbiol. 2017 May;43(3):263-293. doi: 10.3109/1040841X.2016.1169990. Epub 2017 Jan 27.