Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay

ABSTRACTStaphylococcus aureus is one of the most common pathogens. The conventional workflow for identifying this organism is time-consuming and takes up to several days. Therefore, we developed a colloidal gold-based lateral flow immunoassay (LFIA) using human IgG as a conjugated antibody to detect...

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Main Authors: Arpasiri Srisrattakarn, Nicha Charoensri, Jeerati Prompipak, Wajeeorn Ouancharee, Bhanubong Saiboonjan, Patcharaporn Tippayawat, Aroonwadee Chanawong, Lumyai Wonglakorn, Ekgarak Kanwattanee, Sirikan Piyapatthanakul, Thitimar Masmalai, Anisara Ariyapim, Rinjong Promson Kendal, Aroonlug Lulitanond
Format: Article
Language:English
Published: American Society for Microbiology 2024-02-01
Series:Microbiology Spectrum
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/spectrum.03046-23
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author Arpasiri Srisrattakarn
Nicha Charoensri
Jeerati Prompipak
Wajeeorn Ouancharee
Bhanubong Saiboonjan
Patcharaporn Tippayawat
Aroonwadee Chanawong
Lumyai Wonglakorn
Ekgarak Kanwattanee
Sirikan Piyapatthanakul
Thitimar Masmalai
Anisara Ariyapim
Rinjong Promson Kendal
Aroonlug Lulitanond
author_facet Arpasiri Srisrattakarn
Nicha Charoensri
Jeerati Prompipak
Wajeeorn Ouancharee
Bhanubong Saiboonjan
Patcharaporn Tippayawat
Aroonwadee Chanawong
Lumyai Wonglakorn
Ekgarak Kanwattanee
Sirikan Piyapatthanakul
Thitimar Masmalai
Anisara Ariyapim
Rinjong Promson Kendal
Aroonlug Lulitanond
author_sort Arpasiri Srisrattakarn
collection DOAJ
description ABSTRACTStaphylococcus aureus is one of the most common pathogens. The conventional workflow for identifying this organism is time-consuming and takes up to several days. Therefore, we developed a colloidal gold-based lateral flow immunoassay (LFIA) using human IgG as a conjugated antibody to detect S. aureus. One hundred and thirty-eight clinical isolates, including 79 S. aureus and 59 non-S. aureus were spiked in blood samples, and incubated at 37°C for 24 h. The bacterial antigens were simply extracted before being tested by the developed LFIA strips. The results were read by the naked eye within 15 min. Conventional PCR was used as a reference method. The sensitivity and specificity of the developed LFIA were 100% (95% CI: 94.2%–100.0% and 92.4%–100.0%, respectively) in spiked blood culture samples. The detection limits of the LFIA for the purified protein A and bacterial colonies were 10−3 µg/mL and 107 CFU/mL, respectively. The performance of the LFIA testing in 221 bacterial colony isolates and 118 positive blood culture bottles from three hospitals by their medical technologists showed 98.1% (95% CI: 94.1%–99.5%) and 89.7% (95% CI: 79.3%–95.4%) sensitivity, respectively. The LFIA is a quick, easy, and sensitive method for detecting S. aureus without expensive equipment. It might have the potential for early diagnosis of routine service in low-resource laboratories, leading to a rapid and effective treatment.IMPORTANCEIn this study, we modified our previously developed lateral flow immunoassay (LFIA) test for the detection of Staphylococcus aureus by using an in-house human IgG as a conjugated antibody instead of the specific commercial antibody. It gave comparable results to the former developed-LFIA test and helped cost reduction.
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spelling doaj.art-3ca681395da74287bf148f5b8fc349932024-02-06T14:04:54ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972024-02-0112210.1128/spectrum.03046-23Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assayArpasiri Srisrattakarn0Nicha Charoensri1Jeerati Prompipak2Wajeeorn Ouancharee3Bhanubong Saiboonjan4Patcharaporn Tippayawat5Aroonwadee Chanawong6Lumyai Wonglakorn7Ekgarak Kanwattanee8Sirikan Piyapatthanakul9Thitimar Masmalai10Anisara Ariyapim11Rinjong Promson Kendal12Aroonlug Lulitanond13Centre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandCenter for Innovation and Standard for Medical Technology and Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandClinical Microbiology Unit, Srinagarind Hospital, Khon Kaen University, Khon Kaen, ThailandClinical Microbiology Laboratory, The Queen Sirikit National Institute of Child Health, Bangkok, ThailandClinical Microbiology Laboratory, The Queen Sirikit National Institute of Child Health, Bangkok, ThailandClinical Laboratory, Queen Sirikit Heart Center of the Northeast, Khon Kaen University, Khon Kaen, ThailandClinical Laboratory, Queen Sirikit Heart Center of the Northeast, Khon Kaen University, Khon Kaen, ThailandKhon Kaen Hospital, Khon Kaen, ThailandCentre for Research and Development of Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, ThailandABSTRACTStaphylococcus aureus is one of the most common pathogens. The conventional workflow for identifying this organism is time-consuming and takes up to several days. Therefore, we developed a colloidal gold-based lateral flow immunoassay (LFIA) using human IgG as a conjugated antibody to detect S. aureus. One hundred and thirty-eight clinical isolates, including 79 S. aureus and 59 non-S. aureus were spiked in blood samples, and incubated at 37°C for 24 h. The bacterial antigens were simply extracted before being tested by the developed LFIA strips. The results were read by the naked eye within 15 min. Conventional PCR was used as a reference method. The sensitivity and specificity of the developed LFIA were 100% (95% CI: 94.2%–100.0% and 92.4%–100.0%, respectively) in spiked blood culture samples. The detection limits of the LFIA for the purified protein A and bacterial colonies were 10−3 µg/mL and 107 CFU/mL, respectively. The performance of the LFIA testing in 221 bacterial colony isolates and 118 positive blood culture bottles from three hospitals by their medical technologists showed 98.1% (95% CI: 94.1%–99.5%) and 89.7% (95% CI: 79.3%–95.4%) sensitivity, respectively. The LFIA is a quick, easy, and sensitive method for detecting S. aureus without expensive equipment. It might have the potential for early diagnosis of routine service in low-resource laboratories, leading to a rapid and effective treatment.IMPORTANCEIn this study, we modified our previously developed lateral flow immunoassay (LFIA) test for the detection of Staphylococcus aureus by using an in-house human IgG as a conjugated antibody instead of the specific commercial antibody. It gave comparable results to the former developed-LFIA test and helped cost reduction.https://journals.asm.org/doi/10.1128/spectrum.03046-23lateral flow immunoassaypositive blood culture samplesrapid detectionStaphylococcus aureus
spellingShingle Arpasiri Srisrattakarn
Nicha Charoensri
Jeerati Prompipak
Wajeeorn Ouancharee
Bhanubong Saiboonjan
Patcharaporn Tippayawat
Aroonwadee Chanawong
Lumyai Wonglakorn
Ekgarak Kanwattanee
Sirikan Piyapatthanakul
Thitimar Masmalai
Anisara Ariyapim
Rinjong Promson Kendal
Aroonlug Lulitanond
Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay
Microbiology Spectrum
lateral flow immunoassay
positive blood culture samples
rapid detection
Staphylococcus aureus
title Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay
title_full Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay
title_fullStr Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay
title_full_unstemmed Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay
title_short Rapid detection of Staphylococcus aureus in blood culture samples using human IgG-based lateral flow assay
title_sort rapid detection of staphylococcus aureus in blood culture samples using human igg based lateral flow assay
topic lateral flow immunoassay
positive blood culture samples
rapid detection
Staphylococcus aureus
url https://journals.asm.org/doi/10.1128/spectrum.03046-23
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