Bacterial
infections are the leading cause of morbidity and mortality
in the world, particularly due to a delay in treatment and misidentification
of the bacterial species causing the infection. Therefore, rapid and
accurate identification of these pathogens has been of prime importance.
The conventional diagnostic techniques include microbiological, biochemical,
and genetic analyses, which are time-consuming, require large sample
volumes, expensive equipment, reagents, and trained personnel. In
response, we have now developed a paper-based ratiometric fluorescent
sensor array. Environment-sensitive fluorescent dyes (3-hydroxyflavone
derivatives) pre-adsorbed on paper microzone plates fabricated using
photolithography, upon interaction with bacterial cell envelopes,
generate unique fluorescence response patterns. The stability and
reproducibility of the sensor array response were thoroughly investigated,
and the analysis procedure was refined for optimal performance. Using
neural networks for response pattern analysis, the sensor was able
to identify 16 bacterial species and recognize their Gram status with
an accuracy rate greater than 90%. The paper-based sensor was stable
for up to 6 months after fabrication and required 30 times lower dye
and sample volumes as compared to the analogous solution-based sensor.
Therefore, this approach opens avenues to a state-of-the-art diagnostic
tool that can be potentially translated into clinical applications
in low-resource environments.