A point-of-care microfluidic biochip for quantification of CD64 expression from whole blood for sepsis stratification

U Hassan1,2,3, T Ghonge1,3, B Reddy2,3

  • 1Department of Bioengineering, University of Illinois at Urbana-Champaign, 1270 Digital Computer Laboratory, 1304 W. Springfield Ave., Urbana, Illinois 61801, USA.

Insights

A new microfluidic biochip offers rapid point-of-care sepsis diagnosis by measuring leukocyte counts and neutrophil CD64 expression (nCD64) from a small blood sample, improving patient monitoring and diagnostic accuracy.

Area of Science:

  • Biomedical Engineering
  • Clinical Diagnostics
  • Infectious Disease Research

Background:

  • Sepsis is a global health crisis with high mortality and healthcare costs.
  • Accurate early sepsis diagnosis relies on leukocyte counts and neutrophil CD64 expression (nCD64).
  • Existing diagnostic methods lack rapid, point-of-care (PoC) capabilities for these biomarkers.

Purpose of the Study:

  • To develop a novel PoC microfluidic biochip for rapid enumeration of leukocytes and quantification of nCD64.
  • To validate the biochip's performance against established laboratory methods.
  • To assess the clinical utility of the biochip for sepsis diagnosis and patient monitoring.

Main Methods:

  • A microfluidic biochip was designed to process 10 μl of whole blood without manual intervention.
  • Leukocyte counts and nCD64 levels were measured using the developed PoC device.
  • Biochip results were correlated with flow cytometry standards.
  • Clinical studies involved monitoring patients' leukocyte counts and nCD64 levels throughout their hospital stay.

Main Results:

  • The PoC biochip demonstrated excellent correlation with flow cytometry measurements.
  • The device successfully enumerated leukocytes and quantified nCD64 from minimal blood volumes.
  • Clinical data showed the biochip's effectiveness in tracking biomarker changes over time.
  • Integration with electronic medical records (EMR) enhanced sepsis diagnostic capabilities.

Conclusions:

  • The developed PoC microfluidic biochip provides a rapid and accurate method for sepsis-related biomarker analysis.
  • This technology has significant potential for improving early sepsis detection and patient management.
  • Combining biochip measurements with EMR data offers a powerful tool for enhanced clinical decision-making in sepsis care.

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