Molecular diagnosis based on genomic amplification methods such as real-time PCR assay has been reported as an alternative to conventional culture for early detection of invasive candidiasis. However, a major limitation of the molecular method is the difficulty associated with breaking fungal cell walls since the DNA extraction step still requires more than half of a working day. It has been suggested that PCR detection of free template DNA in serum is preferred over the use of whole blood for the diagnosis of systemic candidiasis. In this study, two conventional procedures (the first [the HLGT method] consists of boiling sera in an alkaline guanidine-phenol-Tris reagent, and the second [the PKPC method] uses proteinase K digestion, followed by organic extraction) and three commercially available kits for DNA isolation were evaluated for sensitivity, purity, cost, and use of template for most clinically important Candida species in a TaqMan-based PCR assay. To optimize these procedures, we evaluated the effect of adding 0.5% bovine serum albumin to DNA extracts and found that it decreased the effects of inhibitors. The QIAamp DNA blood kit did significantly shorten the duration of the DNA isolation but was among the most expensive procedures. Furthermore, the QIAamp DNA blood kit proved to be as sensitive as the HLGT DNA isolation method for PCR amplification from 52 serum samples from hematology or oncology patients with clinically proven or suspected systemic Candida infections. All PCR-positive samples showed approximately the same Candida species load by both procedures (100% correspondence), whereas one discordant result was obtained between PCR and blood culture.The management of invasive fungal infections has been hampered by the inability to diagnose the infection at an early stage of disease. However, diagnosis remains difficult, since the only sign of infection may be a prolonged fever that is refractory to antibacterial treatment. In recent years, efforts have been made to develop molecular-biology-based methods for rapid diagnosis, which is crucial to the treatment and recovery of patients suffering from systemic candidiasis. In a comparison of the molecular diagnoses obtained by a real-time PCR-based method to the results of blood culture, the sensitivity and specificity of the molecular method with a C. albicans-specific probe observed with 122 clinical blood samples were 100 and 97%, respectively (12). However, a major limitation of the molecular method in comparison to blood culture was the difficulty associated with problems in breaking fungal cell walls since the DNA extraction step is still a limiting factor, requiring more than half of a working day.Actually, there is no consensus concerning the best blood fractions to be tested for diagnosis of systemic candidiasis. Several PCR methods have been developed for use either on whole-blood samples (7,11,12) or on serum samples (1, 3-5). However, in addition to being too time-consuming and laborintensive, protocols for extraction of cellular candi...