Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings

Abstract Management of curable sexually-transmitted infections (STI) such as Chlamydia can be revolutionized by highly sensitive nucleic acid testing that is deployable at the point-of-care (POC). Here we report the development of a mobile nucleic acid amplification testing (mobiNAAT) platform utili...

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Autores principales: D. J. Shin, P. Athamanolap, L. Chen, J. Hardick, M. Lewis, Y. H. Hsieh, R. E. Rothman, C. A. Gaydos, T. H. Wang
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Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/71e671c7a77547ab9c88c20675696df8
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spelling oai:doaj.org-article:71e671c7a77547ab9c88c20675696df82021-12-02T11:52:31ZMobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings10.1038/s41598-017-04781-82045-2322https://doaj.org/article/71e671c7a77547ab9c88c20675696df82017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-04781-8https://doaj.org/toc/2045-2322Abstract Management of curable sexually-transmitted infections (STI) such as Chlamydia can be revolutionized by highly sensitive nucleic acid testing that is deployable at the point-of-care (POC). Here we report the development of a mobile nucleic acid amplification testing (mobiNAAT) platform utilizing a mobile phone and droplet magnetofluidics to deliver NAAT in a portable and accessible format. By using magnetic particles as a mobile substrate for nucleic acid capture and transport, fluid handling is reduced to particle translocation on a simple magnetofluidic cartridge assembled with reagents for nucleic acid purification and amplification. A mobile phone user interface operating in tandem with a portable Bluetooth-enabled cartridge-processing unit facilitates process integration. We tested 30 potentially Chlamydia trachomatis (CT)-infected patients in a hospital emergency department and confirmed that mobiNAAT showed 100% concordance with laboratory-based NAAT. Concurrent evaluation by a nontechnical study coordinator who received brief training via an embedded mobile app module demonstrated ease of use and reproducibility of the platform. This work demonstrates the potential of mobile nucleic acid testing in bridging the diagnostic gap between centralized laboratories and hospital emergency departments.D. J. ShinP. AthamanolapL. ChenJ. HardickM. LewisY. H. HsiehR. E. RothmanC. A. GaydosT. H. WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-10 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
D. J. Shin
P. Athamanolap
L. Chen
J. Hardick
M. Lewis
Y. H. Hsieh
R. E. Rothman
C. A. Gaydos
T. H. Wang
Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings
description Abstract Management of curable sexually-transmitted infections (STI) such as Chlamydia can be revolutionized by highly sensitive nucleic acid testing that is deployable at the point-of-care (POC). Here we report the development of a mobile nucleic acid amplification testing (mobiNAAT) platform utilizing a mobile phone and droplet magnetofluidics to deliver NAAT in a portable and accessible format. By using magnetic particles as a mobile substrate for nucleic acid capture and transport, fluid handling is reduced to particle translocation on a simple magnetofluidic cartridge assembled with reagents for nucleic acid purification and amplification. A mobile phone user interface operating in tandem with a portable Bluetooth-enabled cartridge-processing unit facilitates process integration. We tested 30 potentially Chlamydia trachomatis (CT)-infected patients in a hospital emergency department and confirmed that mobiNAAT showed 100% concordance with laboratory-based NAAT. Concurrent evaluation by a nontechnical study coordinator who received brief training via an embedded mobile app module demonstrated ease of use and reproducibility of the platform. This work demonstrates the potential of mobile nucleic acid testing in bridging the diagnostic gap between centralized laboratories and hospital emergency departments.
format article
author D. J. Shin
P. Athamanolap
L. Chen
J. Hardick
M. Lewis
Y. H. Hsieh
R. E. Rothman
C. A. Gaydos
T. H. Wang
author_facet D. J. Shin
P. Athamanolap
L. Chen
J. Hardick
M. Lewis
Y. H. Hsieh
R. E. Rothman
C. A. Gaydos
T. H. Wang
author_sort D. J. Shin
title Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings
title_short Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings
title_full Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings
title_fullStr Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings
title_full_unstemmed Mobile nucleic acid amplification testing (mobiNAAT) for Chlamydia trachomatis screening in hospital emergency department settings
title_sort mobile nucleic acid amplification testing (mobinaat) for chlamydia trachomatis screening in hospital emergency department settings
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/71e671c7a77547ab9c88c20675696df8
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