Patient Stratification for Antibiotic Prescriptions Based on the Bound-Free Phase Detection Immunoassay of C-Reactive Protein in Serum Samples.

Details

Serval ID
serval:BIB_3B94FE46393F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Patient Stratification for Antibiotic Prescriptions Based on the Bound-Free Phase Detection Immunoassay of C-Reactive Protein in Serum Samples.
Journal
Biosensors
Author(s)
Johannsen B., Baumgartner D., Karpíšek M., Stejskal D., Boillat-Blanco N., Knüsli J., Panning M., Paust N., Zengerle R., Mitsakakis K.
ISSN
2079-6374 (Electronic)
ISSN-L
2079-6374
Publication state
Published
Issued date
03/12/2023
Peer-reviewed
Oui
Volume
13
Number
12
Pages
1009
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
C-reactive protein is a well-studied host response biomarker, whose diagnostic performance depends on its accurate classification into concentration zones defined by clinical scenario-specific cutoff values. We validated a newly developed, bead-based, bound-free phase detection immunoassay (BFPD-IA) versus a commercial CE-IVD enzyme-linked immunosorbent assay (ELISA) kit and a commercial CE-IVD immunoturbidimetric assay (ITA) kit. The latter was performed on a fully automated DPC Konelab 60i clinical analyzer used in routine diagnosis. We classified 53 samples into concentration zones derived from four different sets of cutoff values that are related to antibiotic prescription scenarios in the case of respiratory tract infections. The agreements between the methods were ELISA/ITA at 87.7%, ELISA/BFPD-IA at 87.3%, and ITA/-BFPD-IA at 93.9%, reaching 98-99% in all cases when considering the calculated relative combined uncertainty of the single measurement of each sample. In a subgroup of 37 samples, which were analyzed for absolute concentration quantification, the scatter plot slopes' correlations were as follows: ELISA/ITA 1.15, R <sup>2</sup> = 0.97; BFPD-IA/ELISA 1.12, R <sup>2</sup> = 0.95; BFPD-IA/ITA 0.95, R <sup>2</sup> = 0.93. These very good performances and the agreement between BFPD-IA and ITA (routine diagnostic), combined with BFPD-IA's functional advantages over ITA (and ELISA)-such as quick time to result (~20 min), reduced consumed reagents (only one assay buffer and no washing), few and easy steps, and compatibility with nucleic-acid-amplification instruments-render it a potential approach for a reliable, cost-efficient, evidence-based point-of-care diagnostic test for guiding antibiotic prescriptions.
Keywords
Humans, C-Reactive Protein/analysis, Immunoassay/methods, Enzyme-Linked Immunosorbent Assay/methods, Biomarkers, C-reactive protein, biomarkers, bound-free phase, clinical samples, diagnostics, immunoassay, patient stratification, respiratory tract infections
Pubmed
Web of science
Open Access
Yes
Create date
05/12/2023 15:20
Last modification date
27/01/2024 8:37
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