A revolution is occurring in the detection, identification, and characterisation of pathogens by the combining of the seemingly disparate fields of nucleic acid analysis, bioinformatics, data storage and retrieval, nanotechnology, physics, microelectronics, and polymer, solid state, and combinatorial chemistry. The scenario of taking a drop of blood, urine, or saliva and within an hour knowing whether a pathogen is present and its antimicrobial resistance potential is no longer science fiction but will soon be reality. These developments, particularly with regard to near patient testing, have important implications for the delivery of health care They will affect primary care, prescribing practice, organisation of pathology laboratories, counselling services, surveillance and epidemiology, and medicolegal practice.

Near patient testing could be implemented in various settings—at hospital bedside, in an outpatient clinic, in a dental or general practice surgery, or in a patient's home. Testing kits might be complete diagnostic units, needing no processing other than application of test material and yielding instant results, or they may need manipulation of test material or use of other equipment for the test to be read and interpreted.