Rapid phenotypic antimicrobial susceptibility testing using nanoliter arrays
Antibiotic resistance is a major global health concern that requires action across all sectors of society. In particular, to allow conservative and effective use of antibiotics clinical settings require better diagnostic tools that provide rapid determination of antimicrobial susceptibility. We pres...
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Veröffentlicht in: | Proceedings of the National Academy of Sciences - PNAS 2017-07, Vol.114 (29), p.E5787-E5795 |
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container_title | Proceedings of the National Academy of Sciences - PNAS |
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creator | Avesar, Jonathan Rosenfeld, Dekel Truman-Rosentsvit, Marianna Ben-Arye, Tom Geffen, Yuval Bercovici, Moran Levenberg, Shulamit |
description | Antibiotic resistance is a major global health concern that requires action across all sectors of society. In particular, to allow conservative and effective use of antibiotics clinical settings require better diagnostic tools that provide rapid determination of antimicrobial susceptibility. We present a method for rapid and scalable antimicrobial susceptibility testing using stationary nanoliter droplet arrays that is capable of delivering results in approximately half the time of conventional methods, allowing its results to be used the same working day. In addition, we present an algorithm for automated data analysis and a multiplexing system promoting practicality and translatability for clinical settings. We test the efficacy of our approach on numerous clinical isolates and demonstrate a 2-d reduction in diagnostic time when testing bacteria isolated directly from urine samples. |
doi_str_mv | 10.1073/pnas.1703736114 |
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In particular, to allow conservative and effective use of antibiotics clinical settings require better diagnostic tools that provide rapid determination of antimicrobial susceptibility. We present a method for rapid and scalable antimicrobial susceptibility testing using stationary nanoliter droplet arrays that is capable of delivering results in approximately half the time of conventional methods, allowing its results to be used the same working day. In addition, we present an algorithm for automated data analysis and a multiplexing system promoting practicality and translatability for clinical settings. 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In particular, to allow conservative and effective use of antibiotics clinical settings require better diagnostic tools that provide rapid determination of antimicrobial susceptibility. We present a method for rapid and scalable antimicrobial susceptibility testing using stationary nanoliter droplet arrays that is capable of delivering results in approximately half the time of conventional methods, allowing its results to be used the same working day. In addition, we present an algorithm for automated data analysis and a multiplexing system promoting practicality and translatability for clinical settings. We test the efficacy of our approach on numerous clinical isolates and demonstrate a 2-d reduction in diagnostic time when testing bacteria isolated directly from urine samples.</description><subject>Antibiotic resistance</subject><subject>Antibiotics</subject><subject>Antiinfectives and antibacterials</subject><subject>Approximation</subject><subject>Bacteria</subject><subject>Biological Sciences</subject><subject>Biotechnology</subject><subject>Clinical isolates</subject><subject>Data analysis</subject><subject>Data processing</subject><subject>Diagnostic software</subject><subject>Diagnostic systems</subject><subject>Diagnostic tests</subject><subject>Drug resistance</subject><subject>Global health</subject><subject>Multiplexing</subject><subject>Physical Sciences</subject><subject>PNAS Plus</subject><subject>Urine</subject><issn>0027-8424</issn><issn>1091-6490</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNpdkUtr3DAUhUVpaSZp11klGLrJxsnVw3psCiUkaWGgUNq1kG0p0eCRHEkuzL-vhkmTtJsruOfTQUcHoVMMlxgEvZqDyZdYABWUY8zeoBUGhVvOFLxFKwAiWskIO0LHOW8AQHUS3qMjInlHKJMrtP5hZj8284MNsexmPzQmFL_1Q4q9N1OTlzzYufjeT77smmJz8eG-WfJ-BhNiXdvUmJTMLn9A75yZsv34dJ6gX7c3P6-_tuvvd9-uv6zboQNVWiWJlI4ScHzgmBriqMSOSOeYo6MQth_FKAjuJWMEj3vUcSqdldD3veX0BH0--M5Lv7XjYENJZtJz8luTdjoar_9Vgn_Q9_G37joKXMhqcPFkkOLjUjPpra85p8kEG5esscKMKOgUVPTTf-gmLinUeJVinHVEUFqpqwNV_y3nZN3zYzDofVN635R-aareOH-d4Zn_W00Fzg7AJpeYXnTOJOeqo38ApXGbDw</recordid><startdate>20170718</startdate><enddate>20170718</enddate><creator>Avesar, Jonathan</creator><creator>Rosenfeld, Dekel</creator><creator>Truman-Rosentsvit, Marianna</creator><creator>Ben-Arye, Tom</creator><creator>Geffen, Yuval</creator><creator>Bercovici, Moran</creator><creator>Levenberg, Shulamit</creator><general>National Academy of Sciences</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170718</creationdate><title>Rapid phenotypic antimicrobial susceptibility testing using nanoliter arrays</title><author>Avesar, Jonathan ; 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In particular, to allow conservative and effective use of antibiotics clinical settings require better diagnostic tools that provide rapid determination of antimicrobial susceptibility. We present a method for rapid and scalable antimicrobial susceptibility testing using stationary nanoliter droplet arrays that is capable of delivering results in approximately half the time of conventional methods, allowing its results to be used the same working day. In addition, we present an algorithm for automated data analysis and a multiplexing system promoting practicality and translatability for clinical settings. We test the efficacy of our approach on numerous clinical isolates and demonstrate a 2-d reduction in diagnostic time when testing bacteria isolated directly from urine samples.</abstract><cop>United States</cop><pub>National Academy of Sciences</pub><pmid>28652348</pmid><doi>10.1073/pnas.1703736114</doi><oa>free_for_read</oa></addata></record> |
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subjects | Antibiotic resistance Antibiotics Antiinfectives and antibacterials Approximation Bacteria Biological Sciences Biotechnology Clinical isolates Data analysis Data processing Diagnostic software Diagnostic systems Diagnostic tests Drug resistance Global health Multiplexing Physical Sciences PNAS Plus Urine |
title | Rapid phenotypic antimicrobial susceptibility testing using nanoliter arrays |
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