Optoelectronics Research Centre, University of Southampton, SO17 1BJ, UK.
Optoelectronics Research Centre, University of Southampton, SO17 1BJ, UK.
Talanta. 2022 Jan 15;237:122944. doi: 10.1016/j.talanta.2021.122944. Epub 2021 Oct 15.
Inflammatory markers including C-reactive protein (CRP) and procalcitonin (PCT) have been shown to be useful biomarkers to improve triage speed and prevent the inappropriate use of antibiotics for infections such as pneumonia. Here, we present a novel and exciting solution to guide the administration of antibiotic treatment via rapid, semi-quantitative and multiplexed detection of CRP and PCT using an advanced lateral flow device (LFD) designed to have multiple parallel flow-paths, produced via the precise laser-based partitioning of the single flow-path of a standard LFD. Each flow-path within this multiplexed LFD has a unique detection capability which permits tailored detection of CRP within a predefined cut-off range (20 μg/mL - 100 μg/mL) and PCT above a pre-defined threshold (0.5 ng/mL). We demonstrate the use of this LFD in the successful detection of CRP and PCT semi-quantitatively within spiked human serum samples. This multiplexed near-patient assay has potential for development into a rapid triage and treatment of patients with suspected pneumonia.
炎症标志物,包括 C 反应蛋白(CRP)和降钙素原(PCT),已被证明是有用的生物标志物,可提高分诊速度,并防止对肺炎等感染的抗生素使用不当。在这里,我们提出了一种新颖而令人兴奋的解决方案,通过使用先进的横向流动设备(LFD)快速、半定量和多重检测 CRP 和 PCT,指导抗生素治疗的管理,该设备旨在具有多个平行的流动路径,通过对标准 LFD 的单个流动路径的精确激光分割产生。该多重 LFD 中的每个流动路径都具有独特的检测能力,允许在预定义的截止范围内(20μg/mL-100μg/mL)和预定义阈值(0.5ng/mL)以上对 CRP 进行定制检测。我们证明了在掺入人血清样本中成功地半定量检测 CRP 和 PCT 的这种 LFD 的用途。这种多重床边检测具有开发成为一种快速分诊和治疗疑似肺炎患者的方法的潜力。