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Culture-free detection of bacteria from blood for rapid sepsis diagnosis
Uppsala University, Disciplinary Domain of Science and Technology, Biology, Department of Cell and Molecular Biology, Molecular Systems Biology. KTH Royal Inst Technol, Micro & Nanosyst, Stockholm, Sweden..
KTH Royal Inst Technol, Micro & Nanosyst, Stockholm, Sweden..
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
KTH Royal Inst Technol, Micro & Nanosyst, Stockholm, Sweden..
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2025 (English)In: npj Digital Medicine, E-ISSN 2398-6352, Vol. 8, no 1, article id 544Article in journal (Refereed) Published
Abstract [en]

Approximately 50 million people suffer from sepsis yearly, and 13 million die from it. For every hour a patient with septic shock is untreated, their survival rate decreases by 8%. Therefore, rapid detection and antibiotic susceptibility profiling of bacterial agents in the blood of sepsis patients are crucial for determining appropriate treatment. Here, we introduce a method to isolate bacteria from whole blood with high separation efficiency through Smart centrifugation, followed by microfluidic trapping and subsequent detection using deep learning applied to microscopy images. We detected, within 2 h, E. coli, K. pneumoniae, or E. faecalis from spiked samples of healthy human donor blood at clinically relevant concentrations as low as 9, 7 and 32 colony-forming units per ml of blood, respectively. However, the detection of S. aureus remains a challenge. This rapid isolation and detection represents a significant advancement towards culture-free detection of bloodstream infections.

Place, publisher, year, edition, pages
Nature Publishing Group, 2025. Vol. 8, no 1, article id 544
National Category
Microbiology in the Medical Area Infectious Medicine Hematology
Identifiers
URN: urn:nbn:se:uu:diva-566286DOI: 10.1038/s41746-025-01948-wISI: 001555365200001PubMedID: 40851034Scopus ID: 2-s2.0-105013840802OAI: oai:DiVA.org:uu-566286DiVA, id: diva2:1997009
Funder
Swedish Research Council, 2022-06725Knut and Alice Wallenberg FoundationAvailable from: 2025-09-11 Created: 2025-09-11 Last updated: 2025-09-11Bibliographically approved

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Hallström, ErikLarsson, JimmyKandavalli, VinodhWählby, CarolinaElf, Johan

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Molecular Systems BiologyComputerized Image Analysis and Human-Computer InteractionScience for Life Laboratory, SciLifeLabDepartment of Cell and Molecular Biology
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