Improved diagnosis of central venous catheter-related bloodstream infections using the HB&L UROQUATTRO™ system.

The diagnosis of catheter-related bloodstream infections (CRBSIs) in febrile patients with indwelling central venous catheters (CVCs) needs improvement. To diagnose CRBSIs more efficiently, we have developed a novel culture approach using the catheter tips removed from febrile patients. CVCs and blood cultures from 1,070 patients with only CVC-related infections were obtained over a period of 3 years (January 2009 to December 2011). The CVCs were evaluated by a semi-quantitative catheter culture method according to Maki's method and by our novel method, which is based on the use of the HB&L UROQUATTRO™ system (Alifax, Padova, Italy). Using our new method, 571 (571/1,070) of the infections were confirmed as CRBSIs. The remaining 487 patients had infections that were associated with hematologic malignancies, neutropenia, prior exposure to antibiotics, and a decreased CVC removal rate. Twelve samples were identified as false-positives. The percentage of patients with CRBSIs confirmed using the HB&L UROQUATTRO™ system was 53.36 % versus 34.95 % (p-value 0.004) using Maki's method (374/1,070 CVC Maki-positive samples). Our results indicate that our new culture method allows for an improved CRBSI diagnosis rate. A significant number of tip cultures (18.41 %) tested positive for CRBSIs using our system but were negative when tested using Maki's method. Moreover, the use of the HB&L UROQUATTRO™ system allowed us to significantly reduce diagnosis time; a negative CRBSI diagnosis could be made within 6 h and a positive diagnosis could be made within 22-28 h.

Uncoated quartz resonator as a universal biosensor.

We studied dynamic processes in drying drops of model protein-salt solutions, using an uncoated quartz resonator as a biosensor. To measure these processes we developed a method based on recording the dynamics of the Acoustic-Mechanical Impedance (AMI) of a drop as it dried on the surface of a quartz resonator oscillating at a resonant frequency of 60 kHz. The aim of this work was to highlight the role of some components of serum in self-organization processes. Human serum albumin (HSA), fibronectin (Fn), immunoglobulin G (IgG), immunoglobulin M (IgM), bovine serum albumin (BSA), sodium chloride (NaCl), Potassium Chloride (KCl), and nonionic surfactant O(CH(2)CH(2))(n)CH(2)CH(2)OH were used as components of the tested solutions. It was shown that dynamics of the AMI in drying drops were closely related to liquid composition. This approach allowed us to distinguish with good accuracy solutions in which one or more components (proteins or salts) were replaced by other components with the same mass concentration. We assumed that these differences were due to different surface properties and native functions of proteins, and different positions of salts in the Hofmeister line. Our preliminary work demonstrated that the dynamics of phase transitions in drying drops of serum could be used as an informative parameter for medical diagnostics. In this study, we highlight some positions in this cause-effect chain.