Valera Enrique, Kindratenko Victoria, Jankelow Aaron M, Heredia John, Kim Alicia Y, Cowell Thomas W, Chen Chih-Lin, White Karen, Han Hee-Sun, Bashir Rashid
Department of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
Nick Holonyak Jr. Micro and Nanotechnology Laboratory, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
Curr Opin Electrochem. 2023 Jun;39. doi: 10.1016/j.coelec.2023.101300. Epub 2023 Apr 14.
Sepsis is a life-threatening dysfunction of organ systems caused by a dysregulated immune system because of an infectious process. It remains one of the leading causes of hospital mortality and of hospital readmissions in the United States. Mortality from sepsis increases with each hour of delayed treatment, therefore, diagnostic devices that can reduce the time from the onset of a patient's infection to the delivery of appropriate therapy are urgently needed. Likewise, tools that are capable of high-frequency testing of clinically relevant biomarkers are required to study disease progression. Electrochemical biosensors offer important advantages such as high sensitivity, fast response, miniaturization, and low cost that can be adapted to clinical needs. In this review paper, we discuss the current state, limitations, and future directions of electrochemical-based point-of-care detection platforms that contribute to the diagnosis and monitoring of sepsis.
脓毒症是一种因感染过程导致免疫系统失调而引起的危及生命的器官系统功能障碍。在美国,它仍然是医院死亡率和再次入院率的主要原因之一。脓毒症的死亡率会随着治疗延迟的每一小时而增加,因此,迫切需要能够缩短从患者感染发作到提供适当治疗时间的诊断设备。同样,需要能够对临床相关生物标志物进行高频检测的工具来研究疾病进展。电化学生物传感器具有高灵敏度、快速响应、小型化和低成本等重要优势,能够适应临床需求。在这篇综述文章中,我们讨论了有助于脓毒症诊断和监测的基于电化学的即时检测平台的现状、局限性和未来发展方向。