Rapid antibiotic susceptibility testing by resazurin using thin film platinum as a bio-electrode

Traditional antibiotic susceptibility testing methods take several days to confirm and start disease treatment. The lack of new antibiotics or drugs warrants a need for optimization of current diagnostic tools for immediate antibiotic susceptibility testing. We present a rapid screening method to evaluate the response of bacteria to antibiotics based upon the electrochemical measurement of live bacterial cell metabolic activity using an electroactive redox dye, resazurin. A thin film of Pt deposited over a glass substrate using the direct current sputtering technique was used as a working bio-electrode for electrochemical readouts. X-ray diffraction and scanning electron microscopy was carried out to characterize the Pt thin film. We tested the efficacy of the method using two different strains, Klebsiella pneumoniae (ATCC-700603) and Escherichia coli (ATCC-25922), against ampicillin, kanamycin and tetracycline. The dye, on incubation with viable bacteria, undergoes reduction and lowers the corresponding peak current value. However, in the presence of an effective antibacterial agent, reduction did not occur due to bacterial cell death and absence of a reducing environment. The electrochemical changes in peak current values were monitored using the differential pulse voltammetry technique and interpretation of the results obtained was based upon changes in peak current values. Our results depict a new methodology where a concentration of 10⁴ cells/mL cells can be detected in less than 4 h. The results were also compared with the conventional disc diffusion method for susceptibility testing which has a bacterial incubation time of 18-24 h. The method can potentially be used for monitoring the susceptibility of bacterial strains towards existing antibacterial agents in an easy, rapid, reliable and inexpensive manner without any pre-cultivation of bacteria.