An Electrochemical Biosensor for Rapid Detection of Pediatric Bloodstream Infections

Author:

Kurundu Hewage Eranda M. K.1,Spear Debbie2,Umstead Todd M.1,Hu Sanmei1,Wang Ming3,Wong Pak Kin4,Chroneos Zissis C.15,Halstead E. Scott12,Thomas Neal J.13

Affiliation:

1. Pulmonary Immunology and Physiology Laboratory, Department of Pediatrics, Pennsylvania State University College of Medicine, Hershey, PA, USA

2. Division of Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Health Children’s Hospital, Hershey, PA, USA

3. Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, USA

4. Department of Biomedical Engineering, Mechanical Engineering and Surgery, Pennsylvania State University, University Park, Hershey, PA, USA

5. Department of Microbiology and Immunology, Pennsylvania State University College of Medicine, Hershey, PA, USA

Abstract

Bloodstream infections are major contributing factors of morbidity and mortality among children. Precise and timely identification of causative agents can improve the clinical management and outcome of the infection, potentially saving lives. Electrochemical biosensors previously described by Gao et al. (2017) have the potential to deliver greater speed and discrimination. However, to date there are no data that determine whether the age of the host would cause bacteria to demonstrate different growth characteristics, or whether pediatric samples would behave differently using this electrochemical biosensor. The importance of this knowledge gap is clear: the preclinical testing phase of this line of research is limited by the relative lack of pediatric healthy blood volunteers to complete this work. Therefore, in this study we have applied this novel technology to diagnose bacteria spiked into pediatric blood and compared directly with adult blood samples. Only 180 µL of blood was utilized from both adult and pediatric volunteers and inoculated with Escherichia coli 67, and the signals generated at different time points were compared. We were able to demonstrate that the signals generated by adult and pediatric blood were not significantly different with this detection technology.

Publisher

Elsevier BV

Subject

Medical Laboratory Technology,Computer Science Applications

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