Title:
|
Development of a molecular-based micro/nano platform for blood stream infection diagnostics
|
Blood Stream Infections (BSIs) are a massive burden to health services worldwide,
present culture based diagnostic methods identify microorganisms phenotypically,
based upon physical characteristics such as morphology, growth or not in a specific
medium. These methods require up to 4 days for a complete analysis of a clinical
sample in order to determine the cause of the infection and define an appropriate
antimicrobial chemotherapy. This standard culturing approach is time consuming,
complex, costly and diagnostically limited. Yet reliability, reproducibility and broad
use of these methods provide a real world 'Gold Standard' in microbiology that
molecular techniques have yet to surpass in the clinical setting.
A well-defined molecular approach can theoretically overcome the limitations of the
culture-based methodology. A molecular technique could be faster, being able to
provide a clinically relevant diagnosis at the point-of-care e.g. the patient's bedside
and more accurate providing information about the infection based upon primary
molecular data within the sample not on a secondary culture from that clinical sample.
When translated to the real world these advantages mean that; the patient can be
accurately diagnosed upon presentation to a physician allowing the treatment to be
delivered without the need for a long hospital stay or a broad-spectrum antibiotic
therapy. This reduces costs and evolutionary pressure upon bacteria to develop
resistance to antimicrobial chemotherapies.
A molecular approach also allows a simplification of the diagnostic process by
employing a lab-on-a-chip framework. By integrating the core components of the
molecular approach the infrastructural requirements of health care provider such as;
well trained staff, expensive laboratory equipment buildings and resources etc could
be reduced to a simple hand held device.
This thesis details the multidisciplinary work undertaken to thoroughly define the
nature of the problem and the requirements of a solution. The research in defining that
solution was conducted within three disciplines, bioinformatics, molecular biology
and nanotechnology.
|