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11 February 2010Surface enhanced Raman spectroscopy for urinary tract infection diagnosis and antibiogram
Urinary tract infection diagnosis and antibiogram require a minimum of 48 hours using standard laboratory practice. This
long waiting period contributes to an increase in recurrent infections, rising health care costs, and a growing number of
bacterial strains developing resistance to antibiotics. In this work, Surface Enhanced Raman Spectroscopy (SERS) was
used as a novel method for classifying bacteria and determining their antibiogram. Five species of bacteria were
classified with > 90% accuracy using their SERS spectra and a classification algorithm involving novel feature extraction
and discriminant analysis. Antibiotic resistance or sensitivity was determined after just a two-hour exposure of bacteria
to ciprofloxacin (sensitive) and amoxicillin (resistant) and analysis of their SERS spectra. These results can become the
basis for the development of a novel method that would provide same day diagnosis and selection of the most
appropriate antibiotic for most effective treatment of a urinary tract infection.