title: The potential of autofluorescence spectroscopy to detect human urinary tract infection.
abstract: Urinary tract infections (UTIs) are known to alter the normal urine composition which, in principle, can lead to changes in urine autofluorescence. This paper describes the study of human urine (normal and UTI) by using UV fluorescence excitation/emission matrices and synchronous spectra and proposes a method of diagnosing UTI without any sample preparation. The method is based on excitation in the shorter UV region (250-350 nm) which shows good discrimination between the normal urine and UTI samples. The synchronous scans with an offset of Deltalambda=90 nm were also able to differentiate between normal urines and UTI samples. These differences were observed even though the two known major urine fluorophores, tryptophan and indoxyl sulfate were present in the normal urine and UTI samples in similar concentration as established by HPLC analysis. Although the identity of substances responsible for the altered autofluorescence in UTI is not established, our study shows that autofluorescence has the potential to differentiate between normal human urine samples and those with UTI.
authors.affiliation: Faculty of Science, Macquarie University, Sydney 2109, NSW, Australia.
authors.forename: Sandeep Menon
authors.initials: SM
authors.lastname: Perinchery
authors.forename: Unnikrishnan
authors.initials: U
authors.lastname: Kuzhiumparambil
authors.forename: Subramanyam
authors.initials: S
authors.lastname: Vemulpad
authors.forename: Ewa M
authors.initials: EM
authors.lastname: Goldys
mesh_terms: D006801:Humans; D007200:Indican; D013050:Spectrometry, Fluorescence / Q000379:methods*; D014364:Tryptophan; D014466:Ultraviolet Rays; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000652:urine
chemical_list: D014364:Tryptophan; D007200:Indican