detection-helicobacter-pylori-infection-antibiotic-resistance-via

Detection of <em>Helicobacter pylori</em> Infection and Antibiotic Resistance via Stool Quantitative Polymerase Chain Reaction Analysis

Helicobacter pylori (H. pylori) is widely prevalent worldwide, with approximately 50% of the global population having a history of H. pylori infection. In ...

Southern Medical University

 and enterotoxigenic  (ETEC) are major bacterial pathogens of diarrheal disease that is the second leading cause of childhood mortality globally. Currently, it is well known that  spp., and .  are very closely related with many common characteristics. Evolutionarily speaking,  spp., are positioned within the phylogenetic tree of . . Therefore, discrimination of  spp., from .  is very difficult. Many methods have been developed with the aim of differentiating the two species, which include but not limited to biochemical tests, nucleic acids amplification, and mass spectrometry, etc. However, these methods suffer from high false positive rates and complicated operation procedures, which requires the development of novel methods for accurate and rapid identification of  spp., and . . As a low-cost and non-invasive method, surface enhanced Raman spectroscopy (SERS) is currently under intensive study for its diagnostic potential in bacterial pathogens, which is worthy of further investigation for its application in bacterial discrimination. In this study, we focused on clinically isolated .  strains and  species (spp.), that is, . , . , . , and . , based on which SERS spectra were generated and characteristic peaks for  spp., and .  were identified, revealing unique molecular components in the two bacterial groups. Further comparative analysis of machine learning algorithms showed that, the Convolutional Neural Network (CNN) achieved the best performance and robustness in bacterial discrimination capacity when compared with Random Forest (RF) and Support Vector Machine (SVM) algorithms. Taken together, this study confirmed that SERS paired with machine learning could achieve high accuracy in discriminating  spp., from . , which facilitated its application potential for diarrheal prevention and control in clinical settings. Graphical abstract.

Yu-Wei Di

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