The
current methods for diagnosis of acute and chronic infections
are complex and skill-intensive. For complex clinical biofilm infections,
it can take days from collecting and processing a patient’s
sample to achieving a result. These aspects place a significant burden
on healthcare providers, delay treatment, and can lead to adverse
patient outcomes. We report the development and application of a novel
multi-excitation Raman spectroscopy-based methodology for the label-free
and non-invasive detection of microbial pathogens that can be used
with unprocessed clinical samples directly and provide rapid data
to inform diagnosis by a medical professional. The method relies on
the differential excitation of non-resonant and resonant molecular
components in bacterial cells to enhance the molecular finger-printing
capability to obtain strain-level distinction in bacterial species.
Here, we use this strategy to detect and characterize the respiratory
pathogens Pseudomonas aeruginosa and Staphylococcus aureus as typical infectious agents
associated with cystic fibrosis. Planktonic specimens were analyzed
both in isolation and in artificial sputum media. The resonance Raman
components, excited at different wavelengths, were characterized as
carotenoids and porphyrins. By combining the more informative multi-excitation
Raman spectra with multivariate analysis (support vector machine)
the accuracy was found to be 99.75% for both species (across all strains),
including 100% accuracy for drug-sensitive and drug-resistant S. aureus. The results demonstrate that our methodology
based on multi-excitation Raman spectroscopy can underpin the development
of a powerful platform for the rapid and reagentless detection of
clinical pathogens to support diagnosis by a medical expert, in this
case relevant to cystic fibrosis. Such a platform could provide translatable
diagnostic solutions in a variety of disease areas and also be utilized
for the rapid detection of anti-microbial resistance.