Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry
Objective. To assess pathogen identification from positive blood cultures by MALDI-TOF mass spectrometry. Materials and Methods. At the first stage, an in vitro study using MALDI-TOF MS and including 11 pathogen species (K. pneumoniae, E. coli, P. aeruginosa, A. baumannii, S. aureus, S. epidermi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy
2016-11-01
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| Series: | Клиническая микробиология и антимикробная химиотерапия |
| Subjects: | |
| Online Access: | https://cmac-journal.ru/publication/2016/4/cmac-2016-t18-n4-p296/cmac-2016-t18-n4-p296.pdf |
| _version_ | 1811286500183113728 |
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| author | Popov D.A. Nadtochey E.A. Vostrikova T.Yu. Ovseenko S.T. |
| author_facet | Popov D.A. Nadtochey E.A. Vostrikova T.Yu. Ovseenko S.T. |
| author_sort | Popov D.A. |
| collection | DOAJ |
| description | Objective.
To assess pathogen identification from positive blood cultures by MALDI-TOF mass spectrometry.
Materials and Methods.
At the first stage, an in vitro study using MALDI-TOF MS and including 11 pathogen species (K. pneumoniae, E. coli, P. aeruginosa, A. baumannii, S. aureus, S. epidermidis, S. haemolyticus, E. faecalis, E. faecium, C. albicans, C. parapsilosis) was performed. This study involved hourly attempts to identify the above listed pathogens by MALDI-TOF MS (Vitek MS, bioMerieux) during incubation until their correct identification. At the second (clinical) stage, a total of 360 positive blood cultures obtained from 187 patients undergoing cardiac surgery were tested. Two accelerated techniques of pathogen identification from the positive blood cultures were studied concurrently with the routine method (MALDI-TOF MS assay following 24-hour incubation). A total of 300 blood samples (284 single cultures) were tested by the short-term incubation technique. A total of 211 blood samples (201 single cultures) were tested by the direct identification technique (with no culture on a solid medium). A total of 151 blood samples were tested by these two identification techniques concurrently.
Results.
At the first stage, the incubation time (on blood agar) required to complete identification was no more than 5 hours and 6 hours for vials with polymer granules and vials with active charcoal, respectively. The incubation times for Candida spp. were 10 to 22 hours. The
identification by MALDI-TOF MS following short-term incubation on blood agar was successful for 259/284 (91.2%) of pathogens, including 97%, 94.5%, and 43.5% of Gram-negative rods, Gram-positive cocci, and Candida spp., respectively; the mean incubation times were 2.7, 3.9 and 5 hours, respectively. The results of successful pathogen identification coincided with those obtained by the routine method in all cases. The identification to species level by the direct MALDI-TOF MS assay was correct for 163/201 (81.1%) of pathogens, including 94%, 75.2%, and 40% of Gram-negative rods, Gram-positive cocci, and Candida spp., respectively. A turnaround time for this technique, including sample preparation, was no more than 1 hour. The concurrent use of the both accelerated techniques provided the overall successful identification in 95% of cases, including 98.4%, 96%, and 50% of Gram-negative rods, Gram-positive cocci, and Candida spp., respectively (Cohen’s kappa for comparison with the routine method was 0.92).
Conclusions.
The accelerated techniques of pathogen identification from blood cultures by MALDI-TOF MS provide rapid and reliable identification of microorganisms causing bacteremia, which in combination with local microbiological monitoring data may contribute to early appropriate antimicrobial therapy. |
| first_indexed | 2024-04-13T03:01:04Z |
| format | Article |
| id | doaj.art-88ab06094b35495c97131e2514f1dcc1 |
| institution | Directory Open Access Journal |
| issn | 1684-4386 2686-9586 |
| language | Russian |
| last_indexed | 2024-04-13T03:01:04Z |
| publishDate | 2016-11-01 |
| publisher | Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy |
| record_format | Article |
| series | Клиническая микробиология и антимикробная химиотерапия |
| spelling | doaj.art-88ab06094b35495c97131e2514f1dcc12022-12-22T03:05:25ZrusInterregional Association for Clinical Microbiology and Antimicrobial ChemotherapyКлиническая микробиология и антимикробная химиотерапия1684-43862686-95862016-11-01184296307cmac-2016-t18-n4-p296Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass SpectrometryPopov D.A.0Nadtochey E.A.1Vostrikova T.Yu.2Ovseenko S.T.3A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, RussiaA.N. Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, RussiaA.N. Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, RussiaA.N. Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, RussiaObjective. To assess pathogen identification from positive blood cultures by MALDI-TOF mass spectrometry. Materials and Methods. At the first stage, an in vitro study using MALDI-TOF MS and including 11 pathogen species (K. pneumoniae, E. coli, P. aeruginosa, A. baumannii, S. aureus, S. epidermidis, S. haemolyticus, E. faecalis, E. faecium, C. albicans, C. parapsilosis) was performed. This study involved hourly attempts to identify the above listed pathogens by MALDI-TOF MS (Vitek MS, bioMerieux) during incubation until their correct identification. At the second (clinical) stage, a total of 360 positive blood cultures obtained from 187 patients undergoing cardiac surgery were tested. Two accelerated techniques of pathogen identification from the positive blood cultures were studied concurrently with the routine method (MALDI-TOF MS assay following 24-hour incubation). A total of 300 blood samples (284 single cultures) were tested by the short-term incubation technique. A total of 211 blood samples (201 single cultures) were tested by the direct identification technique (with no culture on a solid medium). A total of 151 blood samples were tested by these two identification techniques concurrently. Results. At the first stage, the incubation time (on blood agar) required to complete identification was no more than 5 hours and 6 hours for vials with polymer granules and vials with active charcoal, respectively. The incubation times for Candida spp. were 10 to 22 hours. The identification by MALDI-TOF MS following short-term incubation on blood agar was successful for 259/284 (91.2%) of pathogens, including 97%, 94.5%, and 43.5% of Gram-negative rods, Gram-positive cocci, and Candida spp., respectively; the mean incubation times were 2.7, 3.9 and 5 hours, respectively. The results of successful pathogen identification coincided with those obtained by the routine method in all cases. The identification to species level by the direct MALDI-TOF MS assay was correct for 163/201 (81.1%) of pathogens, including 94%, 75.2%, and 40% of Gram-negative rods, Gram-positive cocci, and Candida spp., respectively. A turnaround time for this technique, including sample preparation, was no more than 1 hour. The concurrent use of the both accelerated techniques provided the overall successful identification in 95% of cases, including 98.4%, 96%, and 50% of Gram-negative rods, Gram-positive cocci, and Candida spp., respectively (Cohen’s kappa for comparison with the routine method was 0.92). Conclusions. The accelerated techniques of pathogen identification from blood cultures by MALDI-TOF MS provide rapid and reliable identification of microorganisms causing bacteremia, which in combination with local microbiological monitoring data may contribute to early appropriate antimicrobial therapy.https://cmac-journal.ru/publication/2016/4/cmac-2016-t18-n4-p296/cmac-2016-t18-n4-p296.pdfbacteremiablood culturerapid identificationmaldi-tof mass spectrometry |
| spellingShingle | Popov D.A. Nadtochey E.A. Vostrikova T.Yu. Ovseenko S.T. Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry Клиническая микробиология и антимикробная химиотерапия bacteremia blood culture rapid identification maldi-tof mass spectrometry |
| title | Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry |
| title_full | Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry |
| title_fullStr | Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry |
| title_full_unstemmed | Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry |
| title_short | Accelerated Techniques of Pathogen Identification from Positive Blood Cultures by MALDI-TOF Mass Spectrometry |
| title_sort | accelerated techniques of pathogen identification from positive blood cultures by maldi tof mass spectrometry |
| topic | bacteremia blood culture rapid identification maldi-tof mass spectrometry |
| url | https://cmac-journal.ru/publication/2016/4/cmac-2016-t18-n4-p296/cmac-2016-t18-n4-p296.pdf |
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