The targeted diagnosis and
effective treatments of chronic skin wounds remain a healthcare burden,
requiring the development of sensors for real-time monitoring of wound
healing activity. Herein, we describe an adaptable method for the
fabrication of carbon ultramicroelectrode arrays (CUAs) on flexible
substrates with the goal to utilize this sensor as a wearable device
to monitor chronic wounds. As a proof-of-concept study, we demonstrate
the electrochemical detection of three electroactive analytes as biomarkers
for wound healing state in simulated wound media on flexible CUAs.
Notably, to follow pathogenic responses, we characterize analytical
figures of merit for identification and monitoring of bacterial warfare
toxin pyocyanin (PYO) secreted by the opportunistic human pathogen Pseudomonas aeruginosa. We also demonstrate the detection
of uric acid (UA) and nitric oxide (NO•), which
are signaling molecules indicative of wound healing and immune responses,
respectively. The electrochemically determined limit of detection
(LOD) and linear dynamic range (LDR) for PYO, UA, and NO• fall within the clinically relevant concentrations. Additionally,
we demonstrate the successful use of flexible CUAs for quantitative,
electrochemical detection of PYO from P. aeruginosa strains and cellular NO• from immune cells in
the wound matrix. Moreover, we present an electrochemical examination
of the interaction between PYO and NO•, providing
insight into pathogen–host responses. Finally, the effects
of the antimicrobial agent, silver (Ag+), on P. aeruginosa PYO production rates are investigated
on flexible CUAs. Our electrochemical results show that the addition
of Ag+ to P. aeruginosa in
wound simulant decreases PYO secretion rates.