RAPID COLORIMETRIC SENSOR FOR EARLY DETECTION OF PERITONITIS IN PD PATIENTS: TOWARD REAL-TIME INFECTION MONITORING

 

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https://storage.unitedwebnetwork.com/files/1099/78553425743776e907c97a18d2e4cabe.pdf
RAPID COLORIMETRIC SENSOR FOR EARLY DETECTION OF PERITONITIS IN PD PATIENTS: TOWARD REAL-TIME INFECTION MONITORING

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Sandra Fabiola
Velasco Ramírez
Sandra Fabiola Velasco Ramírez sandra.vramirez@academicos.udg.mx Centro Universitario de Ciencias Exactas e Ingeniería. Universidad de Guadalajara. Química. Guadalajara. Mexico *
Ana Cristina Ramírez Anguiano ana.ranguiano@academicos.udg.mx Centro Universitario de Ciencias Exactas e Ingeniería. Universidad de Guadalajara. Química. Guadalajara. Mexico -
Marco Antonio Manzo Godoy marco.manzo2920@alumnos.udg.mx Centro Universitario de Ciencias Exactas e Ingeniería. Universidad de Guadalajara. Química. Guadalajara. Mexico -
Leslie Andrea Colorado Torres leslie.colorado2919@alumnos.udg.mx Centro Universitario de Ciencias Exactas e Ingeniería. Universidad de Guadalajara. Química. Guadalajara. Mexico -
Milagros Melissa Flores Fonseca flores1984md@yahoo.com Instituto Mexicano del Seguro Social. Universidad de Guadalajara. Nefrología y Medicina Interna. Guadalajara. Mexico -
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Chronic kidney disease (CKD) affects over 10% of the global population, and in advanced stages requires renal replacement therapies such as peritoneal dialysis (PD). Catheter-associated peritonitis remains the most frequent infectious complication, leading to hospitalization, catheter removal, and increased mortality. Conventional diagnostic methods, including microbiological culture take at least 24 to72 hours to provide results, delaying antimicrobial therapy and worsening outcomes. The aimara of this study is to develop a colorimetric sensor based on L-cysteine-functionalized silver nanoparticles (AgNPs) for the rapid detection of bacterial metabolites associated with peritoneal dialysis-related peritonitis, as a first step toward deployable sensor films for PD devices.

We conducted a prospective analysis at the Hospital General Regional 110 Oblatos, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. Patients were categorized into two groups: those with peritonitis and controls (stable peritoneal dialysis without infection). Silver nanoparticles were synthesized using both chemical and green methods. Functionalization with L-cysteine (L-Cys-AgNPs) was optimized by adjusting pH, concentration, and reaction time. Characterization was performed using FTIR, TEM, and DLS to assess morphology, colloidal stability, and functionalization. The colorimetric response was tested against bacterial metabolites (H₂S, indole, amines) and phenolic compounds (gallic acid, caffeic acid, guaiacol, catechin, quercetin), as well as clinically relevant microorganisms (S. aureusS. epidermidisP. aeruginosaE. coli). Negative controls included sugars and bovine serum albumin (BSA).

Functionalized L-Cys-AgNPs demonstrated a rapid (~10 seconds) and highly selective colorimetric response to bacterial metabolites and pathogens compared with controls, outperforming conventional diagnostic methods in detection speed. L-cysteine functionalization enhanced affinity and sensitivity toward bacterial compounds, allowing early discrimination between infected and non-infected samples. 

We developed a rapid, selective, and low-cost colorimetric sensor with strong potential for early detection of peritoneal dialysis-associated peritonitis. This platform could represent a clinically useful innovation for infection surveillance and prompt management in PD patients.


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