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The presence of bacterial cells from three species has been detected in clinical specimens of human urine using laser-induced breakdown spectroscopy (LIBS) by using a partial least squares discriminant analysis (PLS-DA) of 360 spectra obtained from 12 specimens of infected urine and 239 spectra obtained from eight specimens of sterile urine. Nominally sterile urine specimens obtained from four patients at a local hospital after being screened negative for the presence of bacterial pathogens were spiked with known aliquots of Escherichia coli , Staphylococcus aureus , and Enterobacter cloacae to simulate clinical urinary tract infections. Fifteen emission line intensities measured from the LIBS spectra and 92 ratios of those line intensities were used as 107 independent variables in the PLS-DA for discrimination between bacteria-containing specimens and sterile specimens. The PLS-DA models possessed a 98.3% sensitivity and a 97.9% specificity for the detection of pathogenic cells in urine when single-shot LIBS spectra were tested. To increase the signal to noise ratio, thirty spectra acquired from a single specimen were also averaged together and the averaged spectra were used to construct a model. When each averaged spectrum was withheld from the model individually for testing, the diagnostic test possessed a 100% sensitivity and a 100% specificity for the detection of bacterial cells in urine, although the number of test spectra was necessarily reduced. The entire LIBS spectrum from 200 nm – 590 nm was input into an artificial neural network analysis with principal component analysis pre-processing (PCA-ANN) to diagnose the bacterial species once detected. This PCA-ANN test possessed an overall sensitivity of 97.2%, an overall specificity of 98.6%, and an overall classification accuracy of 97.9% when using 80% of the data to build a model and withholding 20% for cross-validation testing. The PCA-ANN was also performed on each of the 12 bacteria-containing filters individually, using the other 11 filters to build the model. The average sensitivity of this test, calculated by averaging the sensitivities measured for each of the three bacterial species, was 70.9% and the average specificity was 85.5%. Based on these results, the average classification accuracy for the test when used to discriminate between the three microorganisms was 80.6%. These results indicate the potential usefulness of LIBS for rapidly detecting and possibly diagnosing urinary tract infections in a clinical setting. [Display omitted] • Laser analysis of urine can be very fast (minutes) and can detect UTI. • Sterile urine was differentiated from infected urine using a two-class PLS-DA. • PCA-ANN was used to discriminate three species of pathogens present in urine. [ABSTRACT FROM AUTHOR]

The ability to rapidly and accurately detect and identify pathogenic bacteria in clinically-obtained blood specimens with laser-induced breakdown spectroscopy (LIBS) is evaluated. Samples of blood obtained from five patients in a local hospital were confirmed to be negative for the presence of bacteria by the pathology department and were then tested with LIBS. Specimens of blood were tested as obtained from the hospital with no other alteration as control samples and were also intentionally spiked with known aliquots of Escherichia coli, Staphylococcus aureus, Enterobacter cloacae, and Pseudomonas aeruginosa to simulate blood infections. LIBS spectra were acquired from blood deposited on nitrocellulose filters. The intensities of 15 emission lines measured in the spectra and 92 ratios of those line intensities were used as 107 independent variables in a partial least squares discriminant analysis (PLS-DA) to discriminate between sterile control samples and those spiked with bacteria. In addition, the entire LIBS spectrum from 200 nm – 590 nm was input into an artificial neural network analysis with principal component analysis pre-processing (PCA-ANN) to diagnose the bacterial species once detected. The PLS-DA test possessed a 96.3% sensitivity and a 98.6% specificity for the detection of pathogenic bacteria in blood when 776 spectra from 26 filters were tested by removing one entire filter at a time from the model and testing each spectrum individually. When all the spectra obtained from a filter were averaged to enhance the signal to noise of the spectrum, 19 of 19 filters of infected blood tested positive and 7 of 7 filters with sterile blood tested negative, yielding 100% sensitivity and 100% specificity. The PCA-ANN test performed on the entire LIBS spectrum possessed a 100% sensitivity and 100% specificity when using 80% of the data to build a model and withholding 20% for cross-validation testing. The same PCA-ANN performed on each of the 19 filters individually, using the other 18 filters to build the model, possessed an average sensitivity of 85.5%, an average specificity of 95.0%, and a classification accuracy of 92.5%. These results indicate the potential usefulness of LIBS for detecting and diagnosing blood infections in a clinical setting. [Display omitted] • LIBS analysis of blood is fast, accurate, and can detect bacteria in infected blood. • Sterile blood was differentiated from infected blood with high specificity. • Machine learning techniques accurately diagnosed pathogens present in blood. [ABSTRACT FROM AUTHOR]