Microbial Aerosols: New Diagnostic Specimens for Pulmonary Infections

Kevin P Fennelly1, Carlos Acuna-Villaorduna2, Edward Jones-Lopez2

  • 1National Institutes of Health, National Heart, Lung and Blood Institute, Bethesda, MD.

Chest
|November 4, 2019
PubMed

Insights

New methods collect infectious aerosols from patients with tuberculosis (TB) and influenza. This research suggests using these patient-generated aerosols for noninvasive diagnostics and infectiousness testing, improving pulmonary infection detection.

Area of Science:

  • Pulmonary Medicine
  • Infectious Diseases
  • Diagnostic Technology

Background:

  • Pulmonary infections cause significant global morbidity and mortality.
  • Current diagnostic methods are limited by specimen collection challenges (ease, safety, cost).
  • Tuberculosis (TB) and influenza are key examples of pulmonary infections with diagnostic needs.

Purpose of the Study:

  • To review recent advances in collecting infectious aerosols from patients with TB and influenza.
  • To propose the use of patient-generated microbial aerosols for noninvasive diagnostics.
  • To explore the potential for aerosol analysis in assessing disease and infectiousness.

Main Methods:

  • Review of recent research on infectious aerosol collection techniques.
  • Focus on methods applicable to patients with TB and influenza.
  • Exploration of the transition from infectious potential assessment to diagnostic application.

Main Results:

  • Recent advances enable easier, safer, and potentially more cost-effective collection of infectious aerosols.
  • The reviewed methods, initially for assessing infectiousness, show promise for diagnostic use.
  • Patient-generated aerosols can be analyzed for microbial content.

Conclusions:

  • Collected infectious aerosols from TB and influenza patients offer a novel diagnostic avenue.
  • Noninvasive testing using patient-generated aerosols could overcome current specimen collection barriers.
  • This approach has the potential to revolutionize the diagnosis and management of pulmonary infections.