On-Site Dual Detection of Airborne Acinetobacter baumannii and Its Carbapenem-Resistant Gene bla(OXA-23) Using a One-Pot Visual LAMP-CRISPR/Cas12a-Based Platform

利用基于LAMP-CRISPR/Cas12a的一锅式可视化平台,对空气中的鲍曼不动杆菌及其碳青霉烯耐药基因bla(OXA-23)进行现场双重检测

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Abstract

Acinetobacter baumannii (A. baumannii), a very common pathogen, poses a significant public health threat due to its antibiotic resistance and long survival in healthcare environments. Both A. baumannii and carbapenem-resistant A. baumannii (CRAB) can spread through the air, increasing infection risks. Therefore, monitoring their presence in the air is of great significance, especially in hospitals. Herein, we developed a Chelex-100-LAMP-CRISPR/Cas12a (CLC) platform including DNA release and nucleic acid test. Combined with a wet cyclone sampler, the platform can detect airborne A. baumannii and its most common carbapenem-resistant gene, bla(OXA-23), within 70 min. This CLC platform has also been proven to have a detection limit of 6 × 10(2) CFU of CRAB per test through simulated air samples. Moreover, this platform was also used to test five actual air samples from a tertiary hospital, and the results achieved perfect concordance with sequencing data, validating the platform's accuracy and reliability. Therefore, the CLC platform showed great potential for the rapid, on-site detection of airborne A. baumannii and its carbapenem-resistant gene bla(OXA-23), offering a valuable tool for infection control in healthcare environments.

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