SlideShare ist ein Scribd-Unternehmen logo
1 von 41
Downloaden Sie, um offline zu lesen
PREVENTION OF CONTAMINATION IN PCR LABORATORY 
PRESENTER- DR. VIDHYA 
BATCH -3
Polymerase chain reaction or PCR is a 
•simple laboratory technique 
•obtain multiple copies of specific DNA fragments even from samples containing only minute quantities of DNA or RNA.
CONTAMINATION IN A PCR LAB 
•Remains an issue 
•Stringency measures depend on the assay being performed. 
•the most stringent contamination efforts- detection of infectious agents.
Amplicon aerosol - 
•single most important source of PCR product contamination 
•Post-PR analysis leading to generation of aerosols of PCR amplicons
Target template contaminants 
•target template can be a source of contamination 
•DNA templates are more troublesome as contaminants
Regardless of the template to be detected, good laboratory practices should be followed
Approach to contamination prevention 
•Kwok and Higuchi (1989)- additional guidelines for researchers using the PCR. 
•Essential for successfully operating a PCR laboratory on a long-term basis to maintain a PCR lab contamination free.
PCR ACTIVITIES 
•Pre-PCR activities (sample preparation and PCR preparation) 
•Post-PCR activities (PCR execution and analysis)
Contamination in PCR primarily because of: 
1.Generation and spread of aerosols 
2. Contaminating materials present on hands, clothing or hair introduced into PCR mixes 
3. Fomites – Laboratory coats, gloves, vortexers, pipettes
4. Circulating PCR amplicons (aerosols/fomites) 
5. Positive control specimens 
6. DNA clones used for synthesis of positive control material
CONTAMINATION CONTROL PROGRAM 
•space and time separation of pre- and post- PCR activities 
•use of physical aids 
•use of ultraviolet (UV) light 
•use of aliquoted PCR reagents 
•incorporation of numerous positive and negative or blank PCRs 
•use of various contamination control methods that use chemical and biochemical reactions.
Space and Time Separation 
•separating the source of the amplicons i.e. post-PCR activities from the pre-PCR activities 
•different areas designated for sample preparation and PCR setup -located away from the area for post-PCR analysis
In a single room, 
•sample preparation- inside a laminar flow hood equipped with a UV light. 
•walls of the hood should be wiped with a disinfectant before processing or preparing samples 
•Establish a daily schedule for performing PCR
Laboratory Space Arrangement
•Separate rooms each with dedicated resources. 
•An alternative to two-facility arrangements is Real-Time PCR methods. 
•the results provided throughout the reaction- no need to open the containers, and can be discarded while still sealed.
Equipment in PCR Laboratories 
•each room must have its own separate set of equipment, including pipettes, reagents, pipette tips, racks, and so forth 
•should not leave the area to which they are assigned. 
•should be labeled as to location and used in that location only. 
•Lab coats should be dedicated for both areas
•Each area needs its own dedicated pipettes 
-never exchanged between work areas 
-color-coded pipettes can be used. 
-pre-PCR pipettes and tips when not in use, should be stored in airtight bags to keep them clean.
•Reactions should be constructed using master mixes- 
-prevent cross contamination 
-template should always be added last using positive displacement tips.
Pre-PCR Activities- 
•Automated better than manual 
•positive displacement tips or barrier tips should be used to pipette the template (last step) 
•Performing in a hood or 
bio-safety cabinet 
•Use of UV irradiation
Environmental Considerations- 
•Air handling- to prevent contamination from the air being recirculated between the pre- and post-PCR labs 
-air handlers to be separate 
-air handlers for the pre- and post-PCR laboratories connected to separate air ducts, each lead to a separate location for exhaust.
-air pressure individually adjusted in each laboratory. 
-slight positive pressure in pre- PCR compared to the air in the connecting hallway 
-post-PCR lab, at slightly reduced pressure - prevent escape of amplicons
•UV irradiation- 
-nucleic acid are sensitive to UV 
-UV lights to sterilize the entire pre-PCR laboratory. 
-Accompanied with a ventilation system to remove the UV generated ozone 
-Precipitation of oxidation products on the glass needs to removed 
every month
•Protective clothing- 
-Dedicated post-PCR lab coat 
-Extreme cases- disposable gowns and boots 
•Adhesive paper at lab entrances- 
-Prevents trace amounts of dust and debris from entering 
-expensive
Sterilization of Reagents- 
•single most critical agent reagent is water 
•filtering it through two 0.45μ nitrocellulose filters (very high binding capacity for nucleic acid and proteins). 
•reagents and solid items destined for the pre- PCR lab should be autoclaved separately. 
•large potential reservoir of contaminating DNA- should be autoclaved separately from any material that will enter the prePCR lab.
Contamination Control 
(1) methods that use physical means 
-to prevent dispersion of PCR amplicons 
(2) methods that exploit chemical reactions to render the amplicons incapable of serving as templates in a new round of PCR. 
most successful PCR laboratories use a spectrum of these methods to effectively control contamination
1.Physical Methods 
•physical barrier approaches- prevent the reintroduction of small amounts of a contaminating aerosolized sample into the next sample 
•positive displacement or barrier pipette tips 
•recommended in the prePCR areas where samples are processed and template nucleic acids, isolated and purified.
•necessary and cost-effective in the post-PCR lab as there is already a large amount of amplicon present.
•adjunct - use of a laminar flow hood / biological safety cabinet – 
- less chance of an external source of PCR amplicon contaminating the samples and reagents
2. Chemical Methods - 
UV photolinking- 
•can be used in both pre-PCR and post-PCR setting. 
• UV light of 254nm – cross-links adjacent pyrimidines on a DNA strand (Gordon and Haseltine 1982). 
•reaction is very fast and effective for bigger amplicons (>700 bp). 
•Smaller amplicons - harder to inactivate (fewer adjacent pyrimidines).
•Once cross-linked the pyrimidine dimers cannot be excised DNA polymerase is sterically blocked and DNA cannot completely denature  synthesis reaction is effectively halted.
•most often used in a pre-PCR setting. 
•All the items are placed inside the cabinet and then illuminated before the PCRs are assembled.
1.safety concern about exposure to UV light. 
2.the photoreaction favors thymidine over cytidine by about 10:1 
-amplicons that are AT-rich are more efficiently disabled than AT-poor sequences. 
3. short amplicons are not well controlled. 
The approach is nevertheless effective and should be used when possible.
Uracil-DNA-glycosylase (UDG)- 
-effective at destroying PCR amplicons when vigorously used for sample preparation (Longo et al. 1990;Thornton et al. 1992). 
-pre-PCR step- dTTP substituted with dUTP, and UDG is included in the reaction mix. 
-All other reaction components remain same.
TO SUMMARIZE… 
•Compulsory wearing of a laboratory coat and disposable latex/ neoprene gloves and changing the laboratory coat and disposing the gloves upon moving from one area to the next in the PCR 
•Maintaining strict unidirectional flow of material and personnel 
•Keeping all bottles and reaction tubes sealed for as long as possible. 
•Using as few manipulations as possible.
•Avoiding vigorous and excessive vortexing, pipetting and spillages in the PCR areas. 
•Centrifuging vials containing specimens, nucleic acids, PCR mix ingredients and PCR amplicons, before opening them. 
•Aliquoting reagents into single-use volumes 
• Always perform No-Template-Control (NTC) reactions to check for the absence of contamination.
•Autoclaving /incinerating contaminated utensils (glassware, reaction tubes, pipette tips, buffers etc.) 
•Cleaning the lab benches periodically with 1N HCl or expose the workstations overnight to UV light. 
•Working within an easily-cleaned Biological Safety Cabinet or PCR workstation, preferably one with a built-in UV source. 
•substitution of dTTP in PCR mix by dUPT and using UDG in the subsequent reactions.
In the worst case scenario of PCR contamination it is advisable to: 
•Shut down the offending PCR laboratory 
•Discard all the working solutions 
•Thoroughly decontaminate all work surfaces, laboratory coats, pipettes etc. 
•Order new supplies of PCR reagents
•Mifflin TE. Setting up a PCR laboratory. www.biosupplynet.com/pdf/01 
•Establishment of PCR laboratory in developing countries. World Health Organization (WHO), 2011
PCR Lab Contamination Prevention

Weitere ähnliche Inhalte

Was ist angesagt?

Our experience with Bombay Blood Group
Our experience with Bombay Blood GroupOur experience with Bombay Blood Group
Our experience with Bombay Blood Groupsankalpindia
 
Neucleic Acid Amplification Testing
Neucleic Acid Amplification TestingNeucleic Acid Amplification Testing
Neucleic Acid Amplification TestingArjuna Samaranayaka
 
real time-PCR..
real time-PCR..real time-PCR..
real time-PCR..aqeel Hadithe
 
Dna quantification
Dna quantificationDna quantification
Dna quantificationTamiru Tadele
 
Rapid antigen test when and how
Rapid antigen test when and howRapid antigen test when and how
Rapid antigen test when and howPathKind Labs
 
Ouchterlony double diffusion and Radial immunodifusion
Ouchterlony double diffusion and Radial immunodifusionOuchterlony double diffusion and Radial immunodifusion
Ouchterlony double diffusion and Radial immunodifusionmicrobiology Notes
 
Quality control in microbiology
Quality control in microbiologyQuality control in microbiology
Quality control in microbiologyTabeen Bint Mansoor
 
NAAT IN BLOOD BANKING
NAAT IN BLOOD BANKINGNAAT IN BLOOD BANKING
NAAT IN BLOOD BANKINGNarmada Tiwari
 
Real time PCR
Real time PCRReal time PCR
Real time PCRnaren
 
HLA tissue typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...
HLA tissue  typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...HLA tissue  typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...
HLA tissue typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...manojjeya
 
Emit enzyme-multiplied immunoassay technique
Emit   enzyme-multiplied immunoassay techniqueEmit   enzyme-multiplied immunoassay technique
Emit enzyme-multiplied immunoassay technique8304
 
Gel card technology ppt nc
Gel card technology ppt ncGel card technology ppt nc
Gel card technology ppt ncNainshi Bhatt
 
Pathogen inactivation methods
Pathogen inactivation methodsPathogen inactivation methods
Pathogen inactivation methodsFigo Khan
 

Was ist angesagt? (20)

Nat Testing
Nat TestingNat Testing
Nat Testing
 
Molecular techniques
Molecular techniquesMolecular techniques
Molecular techniques
 
Our experience with Bombay Blood Group
Our experience with Bombay Blood GroupOur experience with Bombay Blood Group
Our experience with Bombay Blood Group
 
Neucleic Acid Amplification Testing
Neucleic Acid Amplification TestingNeucleic Acid Amplification Testing
Neucleic Acid Amplification Testing
 
real time-PCR..
real time-PCR..real time-PCR..
real time-PCR..
 
Dna quantification
Dna quantificationDna quantification
Dna quantification
 
Real Time PCR
Real Time  PCRReal Time  PCR
Real Time PCR
 
Rapid antigen test when and how
Rapid antigen test when and howRapid antigen test when and how
Rapid antigen test when and how
 
Molecular biology
Molecular biologyMolecular biology
Molecular biology
 
Immunodiffusion
Immunodiffusion Immunodiffusion
Immunodiffusion
 
Ouchterlony double diffusion and Radial immunodifusion
Ouchterlony double diffusion and Radial immunodifusionOuchterlony double diffusion and Radial immunodifusion
Ouchterlony double diffusion and Radial immunodifusion
 
Quality control in microbiology
Quality control in microbiologyQuality control in microbiology
Quality control in microbiology
 
NAAT IN BLOOD BANKING
NAAT IN BLOOD BANKINGNAAT IN BLOOD BANKING
NAAT IN BLOOD BANKING
 
Air bacteriology
Air bacteriologyAir bacteriology
Air bacteriology
 
Epidemiological markers
Epidemiological markersEpidemiological markers
Epidemiological markers
 
Real time PCR
Real time PCRReal time PCR
Real time PCR
 
HLA tissue typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...
HLA tissue  typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...HLA tissue  typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...
HLA tissue typing, HLA matching ,Microcytotoxicity test , Mixed lymphocyte R...
 
Emit enzyme-multiplied immunoassay technique
Emit   enzyme-multiplied immunoassay techniqueEmit   enzyme-multiplied immunoassay technique
Emit enzyme-multiplied immunoassay technique
 
Gel card technology ppt nc
Gel card technology ppt ncGel card technology ppt nc
Gel card technology ppt nc
 
Pathogen inactivation methods
Pathogen inactivation methodsPathogen inactivation methods
Pathogen inactivation methods
 

Andere mochten auch

Presentation: Cleaning and Contamination Control: A regulatory perspective
Presentation: Cleaning and Contamination Control: A regulatory perspectivePresentation: Cleaning and Contamination Control: A regulatory perspective
Presentation: Cleaning and Contamination Control: A regulatory perspectiveTGA Australia
 
Cross-Contamination
Cross-ContaminationCross-Contamination
Cross-ContaminationSue Raymond
 
Lab. genetica forense2010
Lab. genetica forense2010Lab. genetica forense2010
Lab. genetica forense2010tanny88
 
Programa de evaluaciĂłn curricular
Programa de evaluaciĂłn curricularPrograma de evaluaciĂłn curricular
Programa de evaluaciĂłn curricularraquel garcia
 
Disinfecting Mobile Devices for use in Healthcare Settings
Disinfecting Mobile Devices for use in Healthcare SettingsDisinfecting Mobile Devices for use in Healthcare Settings
Disinfecting Mobile Devices for use in Healthcare SettingsPhilip Gulan
 
BQ-50 service.uk
BQ-50 service.ukBQ-50 service.uk
BQ-50 service.ukRyan Anderson
 
International Armoured Vehicles
International Armoured VehiclesInternational Armoured Vehicles
International Armoured VehiclesIQPC
 
Ispe cc chapter_martinorlowskipres
Ispe cc chapter_martinorlowskipresIspe cc chapter_martinorlowskipres
Ispe cc chapter_martinorlowskipresBenigno Ferro Sueiro
 
UV technology for disinfecting surfaces
UV technology for disinfecting surfacesUV technology for disinfecting surfaces
UV technology for disinfecting surfacesAnjum Hashmi MPH
 
Classifications: The 4 Elements of Cleanroom Construction Part 3
Classifications: The 4 Elements of Cleanroom Construction Part 3Classifications: The 4 Elements of Cleanroom Construction Part 3
Classifications: The 4 Elements of Cleanroom Construction Part 3AM Technical Solutions, Inc
 
Bacterial screenshot presentation_2 revised
Bacterial screenshot presentation_2 revisedBacterial screenshot presentation_2 revised
Bacterial screenshot presentation_2 revisedkmonique801
 
Infection prevention in healthcare construction and renovation
Infection prevention in healthcare construction and renovationInfection prevention in healthcare construction and renovation
Infection prevention in healthcare construction and renovationMoustapha Ramadan
 
Contamination control and sterile manufacturing
Contamination control and sterile manufacturingContamination control and sterile manufacturing
Contamination control and sterile manufacturingGeorge Wild
 
New technologies in environmental cleaning
New technologies in environmental cleaningNew technologies in environmental cleaning
New technologies in environmental cleaningMoustapha Ramadan
 
Risk Management in Sterile Environments
Risk Management in Sterile Environments Risk Management in Sterile Environments
Risk Management in Sterile Environments Tim Sandle, Ph.D.
 
Health care associated infections
Health care associated infectionsHealth care associated infections
Health care associated infectionsDr.Hemant Kumar
 
POLYMERASE CHAIN REACTION
POLYMERASE CHAIN REACTIONPOLYMERASE CHAIN REACTION
POLYMERASE CHAIN REACTIONankit
 
Cleanroom, Classification, Design and
Cleanroom, Classification, Design and Cleanroom, Classification, Design and
Cleanroom, Classification, Design and Ahmadreza Barazesh
 

Andere mochten auch (20)

Presentation: Cleaning and Contamination Control: A regulatory perspective
Presentation: Cleaning and Contamination Control: A regulatory perspectivePresentation: Cleaning and Contamination Control: A regulatory perspective
Presentation: Cleaning and Contamination Control: A regulatory perspective
 
Cross-Contamination
Cross-ContaminationCross-Contamination
Cross-Contamination
 
Lab. genetica forense2010
Lab. genetica forense2010Lab. genetica forense2010
Lab. genetica forense2010
 
Programa de evaluaciĂłn curricular
Programa de evaluaciĂłn curricularPrograma de evaluaciĂłn curricular
Programa de evaluaciĂłn curricular
 
Disinfecting Mobile Devices for use in Healthcare Settings
Disinfecting Mobile Devices for use in Healthcare SettingsDisinfecting Mobile Devices for use in Healthcare Settings
Disinfecting Mobile Devices for use in Healthcare Settings
 
BQ-50 service.uk
BQ-50 service.ukBQ-50 service.uk
BQ-50 service.uk
 
International Armoured Vehicles
International Armoured VehiclesInternational Armoured Vehicles
International Armoured Vehicles
 
Ispe cc chapter_martinorlowskipres
Ispe cc chapter_martinorlowskipresIspe cc chapter_martinorlowskipres
Ispe cc chapter_martinorlowskipres
 
UV technology for disinfecting surfaces
UV technology for disinfecting surfacesUV technology for disinfecting surfaces
UV technology for disinfecting surfaces
 
Classifications: The 4 Elements of Cleanroom Construction Part 3
Classifications: The 4 Elements of Cleanroom Construction Part 3Classifications: The 4 Elements of Cleanroom Construction Part 3
Classifications: The 4 Elements of Cleanroom Construction Part 3
 
Bacterial screenshot presentation_2 revised
Bacterial screenshot presentation_2 revisedBacterial screenshot presentation_2 revised
Bacterial screenshot presentation_2 revised
 
Infection prevention in healthcare construction and renovation
Infection prevention in healthcare construction and renovationInfection prevention in healthcare construction and renovation
Infection prevention in healthcare construction and renovation
 
Contamination control and sterile manufacturing
Contamination control and sterile manufacturingContamination control and sterile manufacturing
Contamination control and sterile manufacturing
 
contamination control
contamination controlcontamination control
contamination control
 
New technologies in environmental cleaning
New technologies in environmental cleaningNew technologies in environmental cleaning
New technologies in environmental cleaning
 
Risk Management in Sterile Environments
Risk Management in Sterile Environments Risk Management in Sterile Environments
Risk Management in Sterile Environments
 
Health care associated infections
Health care associated infectionsHealth care associated infections
Health care associated infections
 
Cleanroom sop slides
Cleanroom sop slidesCleanroom sop slides
Cleanroom sop slides
 
POLYMERASE CHAIN REACTION
POLYMERASE CHAIN REACTIONPOLYMERASE CHAIN REACTION
POLYMERASE CHAIN REACTION
 
Cleanroom, Classification, Design and
Cleanroom, Classification, Design and Cleanroom, Classification, Design and
Cleanroom, Classification, Design and
 

Ähnlich wie PCR Lab Contamination Prevention

Nsrc Guidance Doc
Nsrc Guidance DocNsrc Guidance Doc
Nsrc Guidance DocDIv CHAS
 
Covid 19 sample collection and diagnosis
Covid 19 sample collection and diagnosisCovid 19 sample collection and diagnosis
Covid 19 sample collection and diagnosisMoumita Adhikary
 
Lecture 2 diagnostic molecular microbiology bls
Lecture 2 diagnostic molecular microbiology blsLecture 2 diagnostic molecular microbiology bls
Lecture 2 diagnostic molecular microbiology blsBruno Mmassy
 
Practice Guidelines Endocopic disinfection & Reprocessing
Practice Guidelines Endocopic disinfection & ReprocessingPractice Guidelines Endocopic disinfection & Reprocessing
Practice Guidelines Endocopic disinfection & ReprocessingHossam Ghoneim
 
Clean Labs Training
Clean Labs TrainingClean Labs Training
Clean Labs TrainingDalibor Ĺ ulc
 
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesVOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesTriumvirate Environmental
 
Introduction to PCR.pptx
Introduction to PCR.pptxIntroduction to PCR.pptx
Introduction to PCR.pptxBobJones861273
 
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesVOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesTriumvirate Environmental
 
Erica Canzler - Advances and Lessons Learned in Decontamination
Erica Canzler - Advances and Lessons Learned in DecontaminationErica Canzler - Advances and Lessons Learned in Decontamination
Erica Canzler - Advances and Lessons Learned in DecontaminationMatthew Kirkby
 
STANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATION
STANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATIONSTANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATION
STANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATIONAVIJIT BAKSHI
 
VOCLok: A Better Solution for Solvent Waste Collection in Labs
VOCLok: A Better Solution for Solvent Waste Collection in LabsVOCLok: A Better Solution for Solvent Waste Collection in Labs
VOCLok: A Better Solution for Solvent Waste Collection in LabsTriumvirate Environmental
 
Sterile Drug Products produced by cGMP
Sterile Drug Products produced by cGMPSterile Drug Products produced by cGMP
Sterile Drug Products produced by cGMPIqra Shafeeq
 
Aseptic process tech & advanced sterile product mfg rashmi nasare
Aseptic process tech & advanced sterile product mfg  rashmi nasareAseptic process tech & advanced sterile product mfg  rashmi nasare
Aseptic process tech & advanced sterile product mfg rashmi nasareRASHMINasare
 
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesVOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesTriumvirate Environmental
 
11 - Modern Water Monitoring overview_Sept 15
11 - Modern Water Monitoring overview_Sept 1511 - Modern Water Monitoring overview_Sept 15
11 - Modern Water Monitoring overview_Sept 15indiawrm
 
Good Laboratory Practices for Pharmaceutical Quality Control Laboratories
Good Laboratory Practices for Pharmaceutical Quality Control LaboratoriesGood Laboratory Practices for Pharmaceutical Quality Control Laboratories
Good Laboratory Practices for Pharmaceutical Quality Control LaboratoriesSathish Vemula
 
Radiation protection in nuclear medicine shafiee
Radiation protection in nuclear medicine shafieeRadiation protection in nuclear medicine shafiee
Radiation protection in nuclear medicine shafieeUrmia Nuclear Medicine Center
 
Pharmaceutical Microbiology: Current and Future Challenges
Pharmaceutical Microbiology: Current and Future Challenges Pharmaceutical Microbiology: Current and Future Challenges
Pharmaceutical Microbiology: Current and Future Challenges Tim Sandle, Ph.D.
 
REACTION PROGRESS KINETIC ANALYSIS.pptx
REACTION PROGRESS KINETIC ANALYSIS.pptxREACTION PROGRESS KINETIC ANALYSIS.pptx
REACTION PROGRESS KINETIC ANALYSIS.pptxPurushothamKN1
 

Ähnlich wie PCR Lab Contamination Prevention (20)

STERILE Prpn.pptx
STERILE Prpn.pptxSTERILE Prpn.pptx
STERILE Prpn.pptx
 
Nsrc Guidance Doc
Nsrc Guidance DocNsrc Guidance Doc
Nsrc Guidance Doc
 
Covid 19 sample collection and diagnosis
Covid 19 sample collection and diagnosisCovid 19 sample collection and diagnosis
Covid 19 sample collection and diagnosis
 
Lecture 2 diagnostic molecular microbiology bls
Lecture 2 diagnostic molecular microbiology blsLecture 2 diagnostic molecular microbiology bls
Lecture 2 diagnostic molecular microbiology bls
 
Practice Guidelines Endocopic disinfection & Reprocessing
Practice Guidelines Endocopic disinfection & ReprocessingPractice Guidelines Endocopic disinfection & Reprocessing
Practice Guidelines Endocopic disinfection & Reprocessing
 
Clean Labs Training
Clean Labs TrainingClean Labs Training
Clean Labs Training
 
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesVOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
 
Introduction to PCR.pptx
Introduction to PCR.pptxIntroduction to PCR.pptx
Introduction to PCR.pptx
 
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesVOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
 
Erica Canzler - Advances and Lessons Learned in Decontamination
Erica Canzler - Advances and Lessons Learned in DecontaminationErica Canzler - Advances and Lessons Learned in Decontamination
Erica Canzler - Advances and Lessons Learned in Decontamination
 
STANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATION
STANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATIONSTANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATION
STANDARD OPERATING PROCEDURES FOR PARENTERAL DOSAGE FORM PREPARATION
 
VOCLok: A Better Solution for Solvent Waste Collection in Labs
VOCLok: A Better Solution for Solvent Waste Collection in LabsVOCLok: A Better Solution for Solvent Waste Collection in Labs
VOCLok: A Better Solution for Solvent Waste Collection in Labs
 
Sterile Drug Products produced by cGMP
Sterile Drug Products produced by cGMPSterile Drug Products produced by cGMP
Sterile Drug Products produced by cGMP
 
Aseptic process tech & advanced sterile product mfg rashmi nasare
Aseptic process tech & advanced sterile product mfg  rashmi nasareAseptic process tech & advanced sterile product mfg  rashmi nasare
Aseptic process tech & advanced sterile product mfg rashmi nasare
 
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in LaboratoriesVOCLok: A Better Solution for Solvent Waste Collection in Laboratories
VOCLok: A Better Solution for Solvent Waste Collection in Laboratories
 
11 - Modern Water Monitoring overview_Sept 15
11 - Modern Water Monitoring overview_Sept 1511 - Modern Water Monitoring overview_Sept 15
11 - Modern Water Monitoring overview_Sept 15
 
Good Laboratory Practices for Pharmaceutical Quality Control Laboratories
Good Laboratory Practices for Pharmaceutical Quality Control LaboratoriesGood Laboratory Practices for Pharmaceutical Quality Control Laboratories
Good Laboratory Practices for Pharmaceutical Quality Control Laboratories
 
Radiation protection in nuclear medicine shafiee
Radiation protection in nuclear medicine shafieeRadiation protection in nuclear medicine shafiee
Radiation protection in nuclear medicine shafiee
 
Pharmaceutical Microbiology: Current and Future Challenges
Pharmaceutical Microbiology: Current and Future Challenges Pharmaceutical Microbiology: Current and Future Challenges
Pharmaceutical Microbiology: Current and Future Challenges
 
REACTION PROGRESS KINETIC ANALYSIS.pptx
REACTION PROGRESS KINETIC ANALYSIS.pptxREACTION PROGRESS KINETIC ANALYSIS.pptx
REACTION PROGRESS KINETIC ANALYSIS.pptx
 

KĂźrzlich hochgeladen

Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service HyderabadCall Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabaddelhimodelshub1
 
Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...
Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...
Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...soniya singh
 
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service GurgaonCall Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service GurgaonCall Girls Service Gurgaon
 
Book Call Girls in Hosur - 7001305949 | 24x7 Service Available Near Me
Book Call Girls in Hosur - 7001305949 | 24x7 Service Available Near MeBook Call Girls in Hosur - 7001305949 | 24x7 Service Available Near Me
Book Call Girls in Hosur - 7001305949 | 24x7 Service Available Near Menarwatsonia7
 
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...ggsonu500
 
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any TimeCall Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any Timedelhimodelshub1
 
Call Girls in Adil Nagar 7001305949 Free Delivery at Your Door Model
Call Girls in Adil Nagar 7001305949 Free Delivery at Your Door ModelCall Girls in Adil Nagar 7001305949 Free Delivery at Your Door Model
Call Girls in Adil Nagar 7001305949 Free Delivery at Your Door ModelCall Girls Lucknow
 
Hi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbers
Hi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbersHi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbers
Hi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...
Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...
Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...narwatsonia7
 
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabaddelhimodelshub1
 
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment BookingModels Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Low Rate Call Girls In Bommanahalli Just Call 7001305949
Low Rate Call Girls In Bommanahalli Just Call 7001305949Low Rate Call Girls In Bommanahalli Just Call 7001305949
Low Rate Call Girls In Bommanahalli Just Call 7001305949ps5894268
 
Call Girls Kukatpally 7001305949 all area service COD available Any Time
Call Girls Kukatpally 7001305949 all area service COD available Any TimeCall Girls Kukatpally 7001305949 all area service COD available Any Time
Call Girls Kukatpally 7001305949 all area service COD available Any Timedelhimodelshub1
 
Call Girls Uppal 7001305949 all area service COD available Any Time
Call Girls Uppal 7001305949 all area service COD available Any TimeCall Girls Uppal 7001305949 all area service COD available Any Time
Call Girls Uppal 7001305949 all area service COD available Any Timedelhimodelshub1
 

KĂźrzlich hochgeladen (20)

Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service HyderabadCall Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
Call Girl Hyderabad Madhuri 9907093804 Independent Escort Service Hyderabad
 
Russian Call Girls Lucknow Khushi 🔝 7001305949 🔝 🎶 Independent Escort Service...
Russian Call Girls Lucknow Khushi 🔝 7001305949 🔝 🎶 Independent Escort Service...Russian Call Girls Lucknow Khushi 🔝 7001305949 🔝 🎶 Independent Escort Service...
Russian Call Girls Lucknow Khushi 🔝 7001305949 🔝 🎶 Independent Escort Service...
 
Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...
Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...
Gurgaon iffco chowk 🔝 Call Girls Service 🔝 ( 8264348440 ) unlimited hard sex ...
 
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service GurgaonCall Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
Call Girl Gurgaon Saloni 9711199012 Independent Escort Service Gurgaon
 
Book Call Girls in Hosur - 7001305949 | 24x7 Service Available Near Me
Book Call Girls in Hosur - 7001305949 | 24x7 Service Available Near MeBook Call Girls in Hosur - 7001305949 | 24x7 Service Available Near Me
Book Call Girls in Hosur - 7001305949 | 24x7 Service Available Near Me
 
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
Gurgaon Sector 90 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few ...
 
Call Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any TimeCall Girls Secunderabad 7001305949 all area service COD available Any Time
Call Girls Secunderabad 7001305949 all area service COD available Any Time
 
Call Girls in Adil Nagar 7001305949 Free Delivery at Your Door Model
Call Girls in Adil Nagar 7001305949 Free Delivery at Your Door ModelCall Girls in Adil Nagar 7001305949 Free Delivery at Your Door Model
Call Girls in Adil Nagar 7001305949 Free Delivery at Your Door Model
 
Call Girls Guwahati Aaradhya 👉 7001305949👈 🎶 Independent Escort Service Guwahati
Call Girls Guwahati Aaradhya 👉 7001305949👈 🎶 Independent Escort Service GuwahatiCall Girls Guwahati Aaradhya 👉 7001305949👈 🎶 Independent Escort Service Guwahati
Call Girls Guwahati Aaradhya 👉 7001305949👈 🎶 Independent Escort Service Guwahati
 
Hi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbers
Hi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbersHi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbers
Hi,Fi Call Girl In Marathahalli - 7001305949 with real photos and phone numbers
 
Russian Call Girls South Delhi 9711199171 discount on your booking
Russian Call Girls South Delhi 9711199171 discount on your bookingRussian Call Girls South Delhi 9711199171 discount on your booking
Russian Call Girls South Delhi 9711199171 discount on your booking
 
Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...
Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...
Hi,Fi Call Girl In Whitefield - [ Cash on Delivery ] Contact 7001305949 Escor...
 
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service HyderabadCall Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
Call Girls Hyderabad Kirti 9907093804 Independent Escort Service Hyderabad
 
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment BookingModels Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
Models Call Girls Electronic City | 7001305949 At Low Cost Cash Payment Booking
 
Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Subhash Nagar Delhi reach out to us at 🔝9953056974🔝
 
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
Call Girls Service Bommasandra - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
VIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service Lucknow
VIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service LucknowVIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service Lucknow
VIP Call Girls Lucknow Isha 🔝 9719455033 🔝 🎶 Independent Escort Service Lucknow
 
Low Rate Call Girls In Bommanahalli Just Call 7001305949
Low Rate Call Girls In Bommanahalli Just Call 7001305949Low Rate Call Girls In Bommanahalli Just Call 7001305949
Low Rate Call Girls In Bommanahalli Just Call 7001305949
 
Call Girls Kukatpally 7001305949 all area service COD available Any Time
Call Girls Kukatpally 7001305949 all area service COD available Any TimeCall Girls Kukatpally 7001305949 all area service COD available Any Time
Call Girls Kukatpally 7001305949 all area service COD available Any Time
 
Call Girls Uppal 7001305949 all area service COD available Any Time
Call Girls Uppal 7001305949 all area service COD available Any TimeCall Girls Uppal 7001305949 all area service COD available Any Time
Call Girls Uppal 7001305949 all area service COD available Any Time
 

PCR Lab Contamination Prevention

  • 1. PREVENTION OF CONTAMINATION IN PCR LABORATORY PRESENTER- DR. VIDHYA BATCH -3
  • 2. Polymerase chain reaction or PCR is a •simple laboratory technique •obtain multiple copies of specific DNA fragments even from samples containing only minute quantities of DNA or RNA.
  • 3. CONTAMINATION IN A PCR LAB •Remains an issue •Stringency measures depend on the assay being performed. •the most stringent contamination efforts- detection of infectious agents.
  • 4. Amplicon aerosol - •single most important source of PCR product contamination •Post-PR analysis leading to generation of aerosols of PCR amplicons
  • 5. Target template contaminants •target template can be a source of contamination •DNA templates are more troublesome as contaminants
  • 6. Regardless of the template to be detected, good laboratory practices should be followed
  • 7. Approach to contamination prevention •Kwok and Higuchi (1989)- additional guidelines for researchers using the PCR. •Essential for successfully operating a PCR laboratory on a long-term basis to maintain a PCR lab contamination free.
  • 8. PCR ACTIVITIES •Pre-PCR activities (sample preparation and PCR preparation) •Post-PCR activities (PCR execution and analysis)
  • 9.
  • 10. Contamination in PCR primarily because of: 1.Generation and spread of aerosols 2. Contaminating materials present on hands, clothing or hair introduced into PCR mixes 3. Fomites – Laboratory coats, gloves, vortexers, pipettes
  • 11. 4. Circulating PCR amplicons (aerosols/fomites) 5. Positive control specimens 6. DNA clones used for synthesis of positive control material
  • 12. CONTAMINATION CONTROL PROGRAM •space and time separation of pre- and post- PCR activities •use of physical aids •use of ultraviolet (UV) light •use of aliquoted PCR reagents •incorporation of numerous positive and negative or blank PCRs •use of various contamination control methods that use chemical and biochemical reactions.
  • 13. Space and Time Separation •separating the source of the amplicons i.e. post-PCR activities from the pre-PCR activities •different areas designated for sample preparation and PCR setup -located away from the area for post-PCR analysis
  • 14. In a single room, •sample preparation- inside a laminar flow hood equipped with a UV light. •walls of the hood should be wiped with a disinfectant before processing or preparing samples •Establish a daily schedule for performing PCR
  • 16. •Separate rooms each with dedicated resources. •An alternative to two-facility arrangements is Real-Time PCR methods. •the results provided throughout the reaction- no need to open the containers, and can be discarded while still sealed.
  • 17. Equipment in PCR Laboratories •each room must have its own separate set of equipment, including pipettes, reagents, pipette tips, racks, and so forth •should not leave the area to which they are assigned. •should be labeled as to location and used in that location only. •Lab coats should be dedicated for both areas
  • 18. •Each area needs its own dedicated pipettes -never exchanged between work areas -color-coded pipettes can be used. -pre-PCR pipettes and tips when not in use, should be stored in airtight bags to keep them clean.
  • 19. •Reactions should be constructed using master mixes- -prevent cross contamination -template should always be added last using positive displacement tips.
  • 20. Pre-PCR Activities- •Automated better than manual •positive displacement tips or barrier tips should be used to pipette the template (last step) •Performing in a hood or bio-safety cabinet •Use of UV irradiation
  • 21. Environmental Considerations- •Air handling- to prevent contamination from the air being recirculated between the pre- and post-PCR labs -air handlers to be separate -air handlers for the pre- and post-PCR laboratories connected to separate air ducts, each lead to a separate location for exhaust.
  • 22. -air pressure individually adjusted in each laboratory. -slight positive pressure in pre- PCR compared to the air in the connecting hallway -post-PCR lab, at slightly reduced pressure - prevent escape of amplicons
  • 23. •UV irradiation- -nucleic acid are sensitive to UV -UV lights to sterilize the entire pre-PCR laboratory. -Accompanied with a ventilation system to remove the UV generated ozone -Precipitation of oxidation products on the glass needs to removed every month
  • 24. •Protective clothing- -Dedicated post-PCR lab coat -Extreme cases- disposable gowns and boots •Adhesive paper at lab entrances- -Prevents trace amounts of dust and debris from entering -expensive
  • 25. Sterilization of Reagents- •single most critical agent reagent is water •filtering it through two 0.45Îź nitrocellulose filters (very high binding capacity for nucleic acid and proteins). •reagents and solid items destined for the pre- PCR lab should be autoclaved separately. •large potential reservoir of contaminating DNA- should be autoclaved separately from any material that will enter the prePCR lab.
  • 26. Contamination Control (1) methods that use physical means -to prevent dispersion of PCR amplicons (2) methods that exploit chemical reactions to render the amplicons incapable of serving as templates in a new round of PCR. most successful PCR laboratories use a spectrum of these methods to effectively control contamination
  • 27. 1.Physical Methods •physical barrier approaches- prevent the reintroduction of small amounts of a contaminating aerosolized sample into the next sample •positive displacement or barrier pipette tips •recommended in the prePCR areas where samples are processed and template nucleic acids, isolated and purified.
  • 28. •necessary and cost-effective in the post-PCR lab as there is already a large amount of amplicon present.
  • 29. •adjunct - use of a laminar flow hood / biological safety cabinet – - less chance of an external source of PCR amplicon contaminating the samples and reagents
  • 30. 2. Chemical Methods - UV photolinking- •can be used in both pre-PCR and post-PCR setting. • UV light of 254nm – cross-links adjacent pyrimidines on a DNA strand (Gordon and Haseltine 1982). •reaction is very fast and effective for bigger amplicons (>700 bp). •Smaller amplicons - harder to inactivate (fewer adjacent pyrimidines).
  • 31. •Once cross-linked the pyrimidine dimers cannot be excised DNA polymerase is sterically blocked and DNA cannot completely denature  synthesis reaction is effectively halted.
  • 32. •most often used in a pre-PCR setting. •All the items are placed inside the cabinet and then illuminated before the PCRs are assembled.
  • 33. 1.safety concern about exposure to UV light. 2.the photoreaction favors thymidine over cytidine by about 10:1 -amplicons that are AT-rich are more efficiently disabled than AT-poor sequences. 3. short amplicons are not well controlled. The approach is nevertheless effective and should be used when possible.
  • 34. Uracil-DNA-glycosylase (UDG)- -effective at destroying PCR amplicons when vigorously used for sample preparation (Longo et al. 1990;Thornton et al. 1992). -pre-PCR step- dTTP substituted with dUTP, and UDG is included in the reaction mix. -All other reaction components remain same.
  • 35.
  • 36. TO SUMMARIZE… •Compulsory wearing of a laboratory coat and disposable latex/ neoprene gloves and changing the laboratory coat and disposing the gloves upon moving from one area to the next in the PCR •Maintaining strict unidirectional flow of material and personnel •Keeping all bottles and reaction tubes sealed for as long as possible. •Using as few manipulations as possible.
  • 37. •Avoiding vigorous and excessive vortexing, pipetting and spillages in the PCR areas. •Centrifuging vials containing specimens, nucleic acids, PCR mix ingredients and PCR amplicons, before opening them. •Aliquoting reagents into single-use volumes • Always perform No-Template-Control (NTC) reactions to check for the absence of contamination.
  • 38. •Autoclaving /incinerating contaminated utensils (glassware, reaction tubes, pipette tips, buffers etc.) •Cleaning the lab benches periodically with 1N HCl or expose the workstations overnight to UV light. •Working within an easily-cleaned Biological Safety Cabinet or PCR workstation, preferably one with a built-in UV source. •substitution of dTTP in PCR mix by dUPT and using UDG in the subsequent reactions.
  • 39. In the worst case scenario of PCR contamination it is advisable to: •Shut down the offending PCR laboratory •Discard all the working solutions •Thoroughly decontaminate all work surfaces, laboratory coats, pipettes etc. •Order new supplies of PCR reagents
  • 40. •Mifflin TE. Setting up a PCR laboratory. www.biosupplynet.com/pdf/01 •Establishment of PCR laboratory in developing countries. World Health Organization (WHO), 2011