Dissertation/Thesis Abstract

The author has requested that access to this graduate work be delayed until 2019-09-06. After this date, this graduate work will be available on an open access basis.
Advancing Point-of-Need Bacteria Detection Using Microfluidic Paper-Based Analytical Devices
by Boehle, Katherine Elizabeth, Ph.D., Colorado State University, 2018, 222; 10826573
Abstract (Summary)

Bacteria are responsible for more hospitalizations and deaths than any other foodborne contaminant, making the detection of these pathogens of utmost importance. To further complicate bacteria detection, the overuse of antibiotics and genetic plasticity of bacteria has caused antimicrobial resistant (AMR) bacteria to become a more prevalent issue that threatens to be the number one cause of death worldwide by 2050 unless significant innovations are made. Although bacteria detection in the field is ideal, the current gold standards for detection require trained personnel and a central laboratory. The primary work in this dissertation acts to improve upon current bacteria detection methods by designing, developing, and optimizing inexpensive user-friendly tests that detect bacteria at the point-of-need without trained personnel or expensive equipment. These goals are accomplished using microfluidic paper-based analytical devices (µPADs), a growing field for point-of-need detection that have been used for a variety of analytes and applications. Using paper as a platform has allowed for the simple development of user-friendly devices because of their easily designed and modifiable material that typically costs < $0.01 USD per device and allows for multiple tests to be completed from one sample addition.

Devices that will be described include colorimetric spot tests that detect common fecal indicator bacteria (FIB) species Escherichia coli and Enterococci spp. based on enzymes that are naturally produced by the bacteria. Utilizing these enzymes, a test was developed that turns from clear to yellow as an indication of live bacteria. These tests were successfully used in the detection of bacteria in food and water samples to demonstrate its efficacy in food safety applications. To improve specificity and sensitivity of bacteria detection, a second spot test was developed that utilizes immunomagnetic separation (IMS) and an enzymatic sandwich immunoassay in the detection of another common foodborne pathogen, Salmonella typhimurium. This assay was developed specifically for detecting pathogens in complex matrices, such as one of the most common causes of pathogen contamination: animal feces.

Because AMR bacteria are becoming a more prevalent problem, devices were developed to specifically detect bacteria resistant to β-lactam antibiotics, the most common case of antimicrobial resistance observed in bacteria. The first generation of devices were developed to detect β-lactamase activity, an enzyme that facilitates resistance against β-lactam antibiotics. These devices were successful in detecting AMR in different species of bacteria isolated from environmental samples, and in the detection of AMR in sewage water. The second generation of devices enables detection of resistance against specific antibiotics through hydrolysis of the antibiotic and detecting a change in pH. Although not yet demonstrated, these devices will eventually be used to determine if bacteria are resistant against specific classes of β-lactam antibiotics, including a commonly used class of last resort antibiotics, carbapenems.

Beyond bacteria detection, this dissertation also explores developing a field-ready device to identify falsified and substandard antibiotics. Because antibiotics are most commonly counterfeited in resource-limited settings, it is imperative to develop user-friendly point-of-need devices that can quantify the amount of active pharmaceutical ingredient in antibiotics. This was accomplished using enzyme competition, a method that had not been demonstrated paper-based devices.

Finally, all devices that have been developed and optimized in this dissertation utilized colorimetric detection. While a user-friendly and easily implemented method of detection, it does suffer from drawbacks such as sensitivity and user subjectivity when using the devices. To eliminate subjectivity, a portable system using a Raspberry Pi computer and 3D-printed light box and device holder have been optimized. Although the system has been demonstrated by automatically analyzing images and calculating Michaelis-Menten enzyme kinetic values, this system has limitless possibilities in automatically analyzing colorimetric paper-based devices for truly objective colorimetric readouts and quantitative infield detection of pathogens or other analytes.

Indexing (document details)
Advisor: Henry, Charles S.
Commitee: Ackerson, Christopher J., Geiss, Brian J., Krummel, Amber T.
School: Colorado State University
Department: Chemistry
School Location: United States -- Colorado
Source: DAI-B 80/02(E), Dissertation Abstracts International
Subjects: Analytical chemistry, Biochemistry
Keywords: Antimicrobial resistant bacteria, Bacteria detection, Counterfeit antibiotics, Foodborne pathogens, Paper-based analytical devices
Publication Number: 10826573
ISBN: 9780438404793
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