Several
different diagnostic tests have been reported for rapid,
sensitive, and economical detection of bacterial pathogens, but most
lack widespread and practical use in the clinic. In this study, we
used anthocyanins from red cabbage (Brassica oleracea) as a natural pH indicator and, for the first time, incorporated
this agent into a simple, rapid, and economical colorimetric strategy
for the detection of Helicobacter pylori (H. pylori) (RCE@test). We prepared
two sets of RCE@test solutions (test 1 is purple, and test 2 is blue)
in different forms, including liquid, adsorbed filter paper, and agar,
and investigated the performance of each RCE@test as a function of
the test volume, H. pylori concentration,
and reaction time. To elucidate the effect of the pathophysiological
environment on these RCE@tests, H. pylori in an artificial gastric fluid was also detected. The 10 and 1 CFU/mL H. pylori suspensions were detected in 15 min and
3 h, respectively, and the limit of detection was determined down
to 1 CFU/mL. We experimentally demonstrated the advantages of the
RCE@test for detection of H. pylori by comparing it to a commercially available rapid urease test, the
“CLO test (Campylobacter-like organism test)”.
In addition to colorimetric detection by the naked eyes, RGB (Red
Green Blue) and Delta-E analysis in image-processing software was
run to quantitatively monitor changes of color in the RCE@test using
a smartphone application. Finally, we propose that this test provides
simple, effective, rapid, and inexpensive detection and that it can
be easily implemented for clinical use.