This paper reports
on a low-cost, quantitative, point-of-care solution
for the early detection of nitrite, a common biomarker for urinary
tract infections (UTIs). In a healthy individual, nitrite is not found
in the urine. However, a subject with a suspected UTI will produce
nitrite in their urine since the bacteria present will convert nitrate
into nitrite. Traditionally, nitrite is monitored by urinary dipsticks
that are either read by eye or using a reflectance spectrophotometer.
Both methods provide a semiquantitative positive or negative result
at best. In this paper, we described a novel, affordable, portable
transmission-based colorimeter for the quantitative measurement of
nitrite. A unique permutation of the Griess reaction was optimized
for the clinical detection of nitrite in urine and is reported. By
using nitrite spiked in a salt buffer, artificial, and human urine
samples, the performance of the colorimeter was evaluated against
dipsticks read using two commercial dipstick analyzers, Urisys 1100
(Roche Diagnostics) and Clinitek Status+ (Siemens Medical Solutions).
The colorimeter was able to detect the clinically relevant range of
nitrite from 0.78 to 200 μM in a salt buffer. The detection
limit in artificial urine was determined as 1.6 μM, which is
∼16× more sensitive than commercial dipstick reflectance
analyzers, enabling the possibility for earlier detection of urinary
infections. The colorimeter is assembled using off-the-shelf components
(<$80) and controlled by a smartphone application
via
low-energy bluetooth. It has a built-in color correction algorithm
and is designed to enable for a turbidity correction in samples containing
bacteria or other cellular debris as well. The mobile application
can display the nitrite concentration for a single sample or display
the results over a period of time. Tracking urinalysis results longitudinally
can help identify trends such as increases in nitrite concentrations
over an individual’s baseline and identify possible infections
earlier. While the detection of nitrite was showcased here, this portable
analyzer can be expanded to other colorimetric-based chemistries to
detect a panel of biomarkers, which can improve the overall sensitivity
and specificity of the desired assay.