稀释减少了用于牛乳炎快速,直接和小型化表型抗生素敏感性测试的样本矩阵效应
Matthew Michael Long1, Sarah Helen Needs1, Alexander Daniel Edwards1,2
1School of Pharmacy, University of Reading, Reading RG6 6DX, UK.
Antibiotics (Basel, Switzerland)
|September 28, 2023
概括
快速开发乳腺炎的农场抗生素敏感性测试 (AST) 对于减少抗菌素耐药性 (AMR) 至关重要. 稀释牛奶样本和调整读取时间可以提高这些微型诊断设备的准确性.
科学领域:
- 兽医诊断 兽医诊断 兽医诊断 兽医诊断
- 抗微生物耐药性研究研究
- 在生物学中的微流体学.
背景情况:
- 目前的抗菌素耐药性 (AMR) 检测方法耗时,阻碍了乳腺炎的及时治疗和监测.
- 需要更快,便携式技术的需求是由减少滥用抗生素和打击AMR的目标驱动的.
- 在农场进行测试可以指导抗生素的选择,提高治疗疗效,减少耐药性的发展.
研究的目的:
- 调查开发小型化抗生素敏感性测试 (AST) 的挑战,以便在农场直接在牛奶中快速使用.
- 评估样本矩阵 (牛奶,腐烂牛奶),共生细菌和结果时间对小型AST性能的影响.
- 优化微流体设备,在牛奶中准确检测AMR.
主要方法:
- 使用微流体"浸泡和测试"装置,由微毛细膜 (MCF) 制成,用于色度测量细菌生长监测.
- 通过实验评估了牛奶和模拟腐烂牛奶 (酸奶) 对生长检测动力学和最小抑制度 (MIC) 的影响.
- 研究了原生牛奶共生细菌在不同时间点对微流体AST准确度的影响.
主要成果:
- 微流体装置成功地监测了稀释牛奶 (≥1:5) 和酸奶 (≥1:10) 中的格拉姆阴性细菌生长.
- 牛奶高达20%的度不会改变生长动力学,而超过10%的酸奶会导致延迟;更高的度会增加MIC值.
- 在早期的时间点观察到与病原体相对应的混合物假敏感性结果,但可以通过后来的读数来避免,这表明时间精度的权衡.
结论:
- 稀释牛奶样本对于减轻微流体AST中的矩阵效应至关重要.
- 开始性细菌的存在需要仔细选择终点时间,以确保准确性,平衡速度与可靠性.
- 需要对阳性生物进行进一步的优化和研究,但考虑到时间到结果,稀释和精度的权衡,用于农场内的快速微流体AST是可行的.
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