Flow cytometric detection of vancomycin-resistant Enterococcus faecium in urine using fluorescently labelled

Thomas F Oftedal1, Dzung B Diep2

  • 1Faculty of Chemistry, Biotechnology and Food Science, Norwegian University of Life Sciences, Ås, Norway. thof@nmbu.no.

Scientific Reports
|July 6, 2023
PubMed

Insights

A new rapid method detects Enterococcus faecium (E. faecium) in urine using a fluorescent bacteriocin probe. This early detection of E. faecium can improve patient outcomes and reduce antibiotic use.

Area of Science:

  • Microbiology
  • Biotechnology
  • Medical Diagnostics

Background:

  • Urinary tract infections (UTIs) are common and can lead to severe complications like septic shock if untreated.
  • Enterococcus faecium (E. faecium) is a frequent cause of UTIs, necessitating accurate and timely pathogen identification.
  • Current diagnostic methods can be slow, delaying appropriate antibiotic treatment and potentially increasing antibiotic resistance.

Purpose of the Study:

  • To develop a rapid, cost-effective method for detecting E. faecium in urine samples.
  • To utilize bacteriocins as specific probes for bacterial identification.
  • To demonstrate the potential of this method for early UTI diagnosis and improved patient management.

Main Methods:

  • Development of a fluorescently labeled bacteriocin, enterocin K1 (FITC-EntK1), for specific binding to E. faecium.
  • Optimization of a detection assay using conventional flow cytometry.
  • Testing the assay with urine samples spiked with E. faecium, Escherichia coli, and Staphylococcus aureus.

Main Results:

  • The FITC-EntK1 assay detected E. faecium with a 25-73-fold increase in median fluorescence intensity compared to controls.
  • The method achieved detection in under 40 minutes, demonstrating its rapidity.
  • The assay showed specificity for E. faecium against other common urinary bacteria.

Conclusions:

  • Bacteriocins can serve as effective, specific probes for detecting bacterial pathogens in biological samples.
  • This novel method offers a promising approach for rapid E. faecium detection in urine, aiding early UTI diagnosis.
  • The developed assay has the potential to reduce unnecessary antibiotic use and improve clinical outcomes for UTI patients.

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