Bedside Detection of Carbapenemase-Producing Pathogens with Plasmonic Nanosensors

Autor: Antonio Oliver, Giulia Santopolo, Estrella Rojo-Molinero, Roberto de la Rica, Antonio Clemente, Marcio Borges
Rok vydání: 2021
Předmět:
Zdroj: Sensors and Actuators B: Chemical. 329:129059
ISSN: 0925-4005
DOI: 10.1016/j.snb.2020.129059
Popis: Providing the right antibiotic treatment as soon as possible is crucial to improve sepsis outcomes. In this context, infections by bacteria resistant to β-lactams can be deadly. Current approaches for identifying these pathogens are longsome and require complex infrastructure. Here we introduce a diagnostic kit for detecting carbapenemase-producing pathogens at the bedside. It generates colored tests that are easily distinguished by eye or by analyzing a smartphone photograph. The color is generated by gold nanoparticles, which have been designed to detect β-lactamase activity robustly and with ultra-high sensitivity. Neither microbial culture nor specialized equipment are required. The kit can detect infections by carbapenemase-producing bacteria directly from urine samples within 2.5 h, even when these contain an excess of interfering bacteria. It can also detect them in sputum samples within 3 h. The rapid assay time coupled with the ability to detect hazardous infections enables the personalization of antimicrobial treatments much faster than a full antibiotic susceptibility test, which often takes several days to be accomplished. This kit can also be implemented in resource-constrained scenarios where other options for antimicrobial susceptibility testing may not be available.
Databáze: OpenAIRE