2021
DOI: 10.2147/idr.s303187
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Direct-on-Target Microdroplet Growth Assay Applications for Clinical Antimicrobial Susceptibility Testing

Abstract: Direct-on-target microdroplet growth assay is a new technique for analysing bacterial sensitivity and mechanisms of resistance. It is based on matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and allows for easy and rapid testing. Here, we describe the development and procedure of the direct-on-target microdroplet growth assay and summarise the latest clinical applications.

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Cited by 3 publications
(3 citation statements)
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“…Recent advances in technology have relied on building devices using microfluidics and lab-on-a-disc systems with capabilities to test the growth of up to 100 bacterial strains within droplets ( 57 59 ). Another approach uses advances in matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) to rapidly screen functional sets of antibiotic resistance by direct-on-target microdroplet growth assays at a scale of 96 samples per assay ( 27 , 60 ). The current challenge these assays face is increasing throughput and accessibility for routine testing.…”
Section: Antibiotic Resistancementioning
confidence: 99%
“…Recent advances in technology have relied on building devices using microfluidics and lab-on-a-disc systems with capabilities to test the growth of up to 100 bacterial strains within droplets ( 57 59 ). Another approach uses advances in matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) to rapidly screen functional sets of antibiotic resistance by direct-on-target microdroplet growth assays at a scale of 96 samples per assay ( 27 , 60 ). The current challenge these assays face is increasing throughput and accessibility for routine testing.…”
Section: Antibiotic Resistancementioning
confidence: 99%
“…At varying antibiotic concentrations, the microbial growth in each of the target plates was examined to see if MALDI-TOF MS could successfully identify each microbial spot. Microbes could be classified as sensitive or resistant, and minimal inhibitory concentration (MIC) could be computed based on the antibiotic concentration in each microdroplet [ 26 ].…”
Section: Reviewmentioning
confidence: 99%
“…The recently developed DOT-MGA allows for rapid universal antimicrobial susceptibility testing using matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS). 5,[8][9][10] Preliminary tests have shown the desirability of direct application of this approach in positive blood cultures and its good performance in detection. [11][12][13] The inoculum size of 5 × 10 5 CFU/mL, recommended by the CLSI 15 and ISO 16 guidelines as initial inoculum size for AST, is below the lower detection limit by MS.…”
Section: Introductionmentioning
confidence: 99%