A surface-enhanced
Raman scattering-based lateral flow assay (SERS-LFA)
technique has been developed for the rapid and accurate diagnosis
of scrub typhus. Lateral flow kits for the detection of O.
tsutsugamushi IgG (scrub typhus biomarker) were fabricated,
and the calibration curve for various standard clinical sera concentrations
were obtained by Raman measurements. The clinical sera titer values
were determined by fitting the Raman data to the calibration curve.
To assess the clinical feasibility of the proposed method, SERS-LFA
assays were performed on 40 clinical samples. The results showed good
agreement with those of the standard indirect immunofluorescence assay
(IFA) method. SERS-LFA has many advantages over IFA including the
less sample volume, simpler assay steps, shorter assay time, more
systematic quantitative analysis, and longer assay lifetime. As SERS
strips can be easily integrated with a miniaturized Raman spectrophotometer,
field serodiagnosis is also more feasible.