The European Commission awarded the Horizon prize on Better Use of Antibiotics on Monday, February 6. The prize offered a 1 million Euro reward for a diagnostic tool which could help decide if a respiratory tract infection needs antibiotic therapy, or if it can be managed without antibiotics. As respiratory tract infections are still the most common diseases to be treated erratically with antibiotics, tools like these are very welcome.
The winner of the prize was Minicare HNL, a joint venture between the instrument maker Philips Electronics in the Netherlands and P&M Venge AB, a research based company in Uppsala, Sweden. Minicare HNL combined the Minicare platform developed by Philips for Point-of-Care diagnostics and a novel biomarker, Human Neutrophil Lipocalin (HNL). The system provides a rapid and easy diagnostic tool that is able to confirm if an infection is caused by bacteria. The Minicare platform has potential to be a versatile tool, it is already in use with markers of cardiac injury, and could be expanded to many other disease markers as well.
HML as marker for bacterial infection
HML (lipocalin 2, neutrophil gelatinase-associated lipocalin, NGAL) is a protein which is a part of the innate immune system. It is expressed by white blood cells and functions by binding iron, and thus inhibiting bacterial growth. In the assay, the blood droplet is treated with formyl-methionine-leucine-phenylalanine (fMLP) to release the HNL from the blood cells, thus inreasing the sensitivity of the assay. HNL is more specific for infections than for example C-Reactive Protein, which can be elevated by other inflammatory diseases, and better reflects the course of infection as the levels both increase and decrease rapidly.
Measure of three biomarkers
The other finalists were ImmunoPoC, a Point-of-Care instrument which measures three biomarkers in a droplet of blood and PulmoCheck, a system to detect bacterial infection in an body fluid sample by a simple colour changing reaction. Worth noting with the ImmunoPoC system is that it also provides a metric for viral infections, a feature which may reduce just-in-case-prescription of antibiotics even further.
Priced to be practically useful in Low and Middle Income Countries
ReAct congratulates the winner and the two other finalists in the competition, and hopes that these systems can provide a system which is priced low enough to be practically useful in Low and Middle Income Countries, where the need of these tools is great.
More from "2017"
- Food, microbes and health
- ReAct’s priorities in what promises to be an important autumn for antibiotic resistance
- Many countries identify antimicrobial resistance as an obstacle on their way to implementing Agenda 2030
- Important African conference: How will we be able implement National Action Plans on Antimicrobial Resistance?
- Antibiotic resistance: national workshop in India for voluntary organizations
- Resistance to last-line antibiotics
- Essential Diagnostics List (EDL) to be developed
- Media workshop in Ecuador: a success
- ReAct withdraws from IMI project DRIVE-AB
- Microbes – friend, foe or both?
- ReAct Asia Pacific hosts workshop on antimicrobial resistance in the farm sector
- Successful antimicrobial resistance media training in Nairobi, Kenya
- Mother Earth, One Health – International Encounter in Argentina
- Key take-aways from the World Health Assembly 2017 on antimicrobial resistance
- National action plans and global AMR framework on the agenda as 70th World Health Assembly kicks off next week
- ReAct co-hosts side event during World Health Assembly
- ReAct supports countries in the development of National Action Plans on AMR
- Lack of access to old antibiotics drives antibiotic resistance development and impairs patient outcomes
- Hand hygiene saves lives
- The Swedish Government awards Reward Medal to Professor Otto Cars
- Presentation of the Alforja Educativa Validation Project enthuses students
- New antibiotics in the news
- Free online course: Antibiotic Resistance: the Silent Tsunami
- Tell Our Bac-Stories!
- India’s link between tuberculosis and antibiotic resistance
- Environmental effects of antibiotics in sewage
- Professor Larsson on India’s National Action Plan on AMR and emissions from antibiotics production
- India’s new National Action Plan on Antimicrobial Resistance
- Professor Otto Cars to serve as Expert in UN Inter-Agency Coordination Group on Antimicrobial Resistance
- Johns Hopkins Bloomberg School of Public Health is looking for a Research Associate
- Could the use of Antimicrobial Peptides create resistance to ourselves?
- Boston Consulting Group report shies away from addressing affordable access and stewardship
- WHO Releases Priority Pathogens List
- Antibiotic Smart Use project nominated for global UN Award
- European Commission diagnostic prize winner announced
- Recap of WHO 140th Executive Board meeting
- New collaboration on strategies for tackling antibiotic resistance