Infectious
disease viruses, such as foot-and-mouth disease virus
(FMDV), are highly contagious viruses that cause significant socioeconomic
damage upon spreading. Developing an on-site diagnostic tool for early
clinical detection and real-time surveillance of FMDV outbreaks is
essential to prevent the further spread of the disease. However, early
diagnosis of FMDV is still challenging due to the limited sensitivity
and time-consuming manual result entry of commercial on-site tests
for salivary samples. Here, we report a near-infrared (NIR) signal
nanoprobe-based highly accurate detection and remote monitoring system
toward FMDVs, which automates the analysis and reporting of diagnosis
data. The NIR signal lateral flow immunoassay (LFA) was assembled
with a nanoprobe with a stable emission intensity at 800 nm, minimizing
the interference signal of opaque salivary samples. We investigated
the clinical applicability of the NIR signal LFA at biosafety level
3 (BSL-3) laboratories using 147 opaque salivary samples. The NIR
signal LFA achieved a 32-fold lower limit of detection (LOD) than
a commercial LFA in detecting live FMDVs, including all isolates occurring
in the Republic of Korea during 2010–2017. Our results showed
that the NIR signal LFA successfully discriminated the FMDV-positive
clinical salivary samples from healthy controls with a sensitivity
of 96.9%, specificity of 100.0%, and AUC (area under the receiver
operator characteristic curve) value of 0.999. Finally, we substantiated
the real-time collection of diagnostic results using a customized
portable NIR reader at nine different laboratories of government-certified
quarantine institutions for foot-and-mouth disease (FMD).