DiscussionOver the last 130 years the diagnosis of infectious diseases has advanced exponentially
since Robert Koch set down his criteria for diagnosis. Development of molecular based
methods have given diagnostic laboratories the option of high throughput automation,
syndromic diagnosis by microarray and whole genome sequencing. Whilst the disciplines of
Bacteriology and Virology have embraced the new technology, Parasitology has lagged
behind. Traditionally relying on macroscopic and microscopic identification of parasites in
blood, faeces and other specimen types, is it now time to move on and retire our
microscopes in favour of PCR, LAMP and point of care tests?
I will present my view on the current role of microscopy in the diagnostic parasitology
laboratory, including its role in the diagnosis of malaria in an non-endemic setting.