- Article
- Open access
- Published:
Scientific Reports , Article number: (2025) Cite this article
We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.
Subjects
Abstract
The increasing prevalence of aquatic sports presents significant public health concerns due to the risk of infections from waterborne pathogens. Conventional detection methods are often labor intensive, rely on sophisticated laboratory instrumentation, and are inadequate for meeting the urgent demand for onsite, point-of-care testing (POCT). This study reports the development and validation of an integrated POCT platform. The system incorporates three core modules: (1) an instrument-free, syringe-actuated device for simple nucleic acid extraction; (2) a PMMA microfluidic chip enabling uniform sample distribution to multiple reaction chambers via manual centrifugation; and (3) a visual, pH indicator-based loop-mediated isothermal amplification (LAMP) assay. The primers and reaction chemistries were systematically optimized for pathogens, including Staphylococcus aureus and Shigella flexneri. The developed platform enables a sample-to-answer workflow in approximately 60 min, with an analytical limit of detection of 10–100 copies per reaction. Notably, the microfluidic chip platform showed enhanced performance compared to conventional tube-based assays in both sensitivity and stability, particularly yielding more robust results for low-titer samples. Furthermore, the simplified extraction method achieved a recovery efficiency for gram-negative bacteria comparable to that of commercial kits, while noting differences in efficiency for gram-positive strains. The integrated platform exhibited high specificity and robustness against interferents in simulated contaminated water. This work demonstrates a user-friendly, cost-effective, and fully integrated platform for the visual detection of multiple pathogens, requiring only a portable heating module for its entire operation. The platform not only offers a viable technical solution for onsite safety monitoring in aquatic sports but also validates the concept of “backend compensation”: a well-designed detection module can help offset the performance loss from simplified frontend sample preparation. This philosophy provides valuable insights for developing reliable POCT systems destined for real-world, resource-limited settings.
Data availability
All data generated or analysed during this study are included in this published article. The raw datasets used for generating the figures and tables are available from the corresponding author on reasonable request.
References
-
Kucharczyk, N., Andrzejczak, K., Witkowski, W., Sternak, A. & Gaweł-Dąbrowska, D. Bacteriological threats in water sports: Challenges and health risks in the lead-up to major sporting events. Qual. Sport 40, 59304–59304 (2025).
-
Walker, M. D. Leptospirosis: The possible risk to those participating in water-based sports and activities. Br. J. Gen. Pract. 68, 394–395 (2018).
-
Russo, G. S. et al. Evaluating health risks associated with exposure to ambient surface waters during recreational activities: A systematic review and meta-analysis. Water Res. 176, 115729 (2020).
-
Stec, J. et al. Opportunistic pathogens of recreational waters with emphasis on antimicrobial resistance—A possible subject of human health concern. Int. J. Environ. Res. Public Health 19, 7308 (2022).
-
Islam, M. M. & Islam, M. A. Quantifying public health risks from exposure to waterborne pathogens during river bathing as a basis for reduction of disease burden. J. Water Health 18, 292–305 (2020).
-
Prüss, A. Review of epidemiological studies on health effects from exposure to recreational water. Int. J. Epidemiol. 27, 1–9 (1998).
-
Rodrigues, C. & Cunha, M. Â. Assessment of the microbiological quality of recreational waters: Indicators and methods. Euro-Mediterranean J. Environ. Integr. 2, 1–18 (2017).
-
Kardjadj, M. et al. The clinical validity and utility of pcr compared to conventional culture and sensitivity testing for the management of complicated urinary tract infections in adults: A secondary (ad hoc) analysis of pathogen detection, resistance profiles, and impact on clinical outcomes. Microorganisms 13, 949 (2025).
-
Shalileh, F., Shamani, N., Golbashy, M., Dadmehr, M. & Hosseini, M. Synergistic applications of quantum dots and magnetic nanomaterials in pathogen detection: A comprehensive review. Nanotechnology (2024).
-
Luo, W. et al. Comparison of third-generation sequencing technology and traditional microbiological detection in pathogen diagnosis of lower respiratory tract infection. Discov. Med. 35, 332–342 (2023).
-
Hamid, A. & Qin, X. A retrospective analysis of broad-range microbial pcr-sequencing findings and culture results in 101 bronchoalveolar lavage specimens. In American Journal of Clinical Pathology, vol. 162, S117–S118 (OXFORD UNIV PRESS INC JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA, 2024).
-
Bolzon, V., Bulfoni, M., Nencioni, A. & Nencioni, E. Development of real-time pcr methods for quality control detection of pathogenic bacteria in cosmetic preparations. Front. Public Health 13, 1572201 (2025).
-
Quintela, I. A., Vasse, T., Lin, C.-S. & Wu, V. C. Advances, applications, and limitations of portable and rapid detection technologies for routinely encountered foodborne pathogens. Front. Microbiol. 13, 1054782 (2022).
-
Yang, S. & Rothman, R. E. Pcr-based diagnostics for infectious diseases: Uses, limitations, and future applications in acute-care settings. Lancet. Infect. Dis. 4, 337–348 (2004).
-
Khodaparast, M., Sharley, D., Marshall, S. & Beddoe, T. Advances in point-of-care and molecular techniques to detect waterborne pathogens. NPJ Clean Water 7, 74 (2024).
-
Oon, Y.-L. et al. Waterborne pathogens detection technologies: Advances, challenges, and future perspectives. Front. Microbiol. 14, 1286923 (2023).
-
Kim, D.-M. & Yoo, S.-M. Colorimetric systems for the detection of bacterial contamination: Strategy and applications. Biosensors 12, 532 (2022).
-
Xu, G. et al. Recent advances in microfluidics-based monitoring of waterborne pathogens: From isolation to detection. Micromachines 16, 462 (2025).
-
Ou, H. et al. Rapid detection of multiple pathogens by the combined loop-mediated isothermal amplification technology and microfluidic chip technology. Ann. Palliative Med. 10, 110511066–110531066 (2021).
-
World Health Organization. Guidelines for safe recreational water environments Vol. 2 (Swimming pools and similar environments (World Health Organization, 2006).
Acknowledgements
We thank Dr. Youchun Xu (School of Medicine, Tsinghua University) for his invaluable guidance on the microfluidic chip design and BioGDP.com for its user-friendly platform for figure creation.
Funding
This work was supported by the Emerging Interdisciplinary Platform for Medicine and Engineering in Sports (EIPMES).
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
About this article
Cite this article
Chen, Y., Wu, L., Ding, W. et al. A manually driven centrifugal microfluidic LAMP platform for rapid visual detection of waterborne pathogens in aquatic sports. Sci Rep (2025). https://doi.org/10.1038/s41598-025-32092-w
-
Received:
-
Accepted:
-
Published:
-
DOI: https://doi.org/10.1038/s41598-025-32092-w
