The rapid diagnosis of pathogens is crucial in the early stages of
treatment of diseases where the choice of the correct drug can be critical.
Although conventional cell culture-based techniques have been widely utilized in
clinical applications, newly introduced optical-based, microfluidic chips are
becoming attractive. The advantages of the novel methods compared to the
conventional techniques comprise more rapid diagnosis, lower consumption of
patient sample and valuable reagents, easy application, and high reproducibility
in the detection of pathogens. The miniaturized channels used in microfluidic
systems simulate interactions between cells and reagents in microchannel
structures, and evaluate the interactions between biological moieties to enable
diagnosis of microorganisms. The overarching goal of this review is to provide a
summary of the development of microfluidic biochips and to comprehensively
discuss different applications of microfluidic biochips in the detection of
pathogens. New types of microfluidic systems and novel techniques for viral
pathogen detection (e.g. HIV, HVB, ZIKV) are covered. Next generation techniques
relying on high sensitivity, specificity, lower consumption of precious
reagents, suggest that rapid generation of results can be achieved via optical
based detection of bacterial cells. The introduction of smartphones to replace
microscope based observation has substantially improved cell detection, and
allows facile data processing and transfer for presentation purposes.