Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria

Abstract Background Hospital-acquired pneumonia (HAP) is a common problem in intensive care medicine and the patient outcome depends on the fast beginning of adequate antibiotic therapy. Until today pathogen identification is performed using conventional microbiological methods with turnaround times...

Full description

Bibliographic Details
Main Authors: Nils Kunze-Szikszay, Maximilian Euler, Martin Kuhns, Melanie Thieß, Uwe Groß, Michael Quintel, Thorsten Perl
Format: Article
Language:English
Published: BMC 2021-02-01
Series:BMC Microbiology
Subjects:
Online Access:https://doi.org/10.1186/s12866-021-02102-8
_version_ 1818649116221112320
author Nils Kunze-Szikszay
Maximilian Euler
Martin Kuhns
Melanie Thieß
Uwe Groß
Michael Quintel
Thorsten Perl
author_facet Nils Kunze-Szikszay
Maximilian Euler
Martin Kuhns
Melanie Thieß
Uwe Groß
Michael Quintel
Thorsten Perl
author_sort Nils Kunze-Szikszay
collection DOAJ
description Abstract Background Hospital-acquired pneumonia (HAP) is a common problem in intensive care medicine and the patient outcome depends on the fast beginning of adequate antibiotic therapy. Until today pathogen identification is performed using conventional microbiological methods with turnaround times of at least 24 h for the first results. It was the aim of this study to investigate the potential of headspace analyses detecting bacterial species-specific patterns of volatile organic compounds (VOCs) for the rapid differentiation of HAP-relevant bacteria. Methods Eleven HAP-relevant bacteria (Acinetobacter baumanii, Acinetobacter pittii, Citrobacter freundii, Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, Staphylococcus aureus, Serratia marcescens) were each grown for 6 hours in Lysogeny Broth and the headspace over the grown cultures was investigated using multi-capillary column-ion mobility spectrometry (MCC-IMS) to detect differences in the VOC composition between the bacteria in the panel. Peak areas with changing signal intensities were statistically analysed, including significance testing using one-way ANOVA or Kruskal-Wallis test (p < 0.05). Results 30 VOC signals (23 in the positive ion mode and 7 in the negative ion mode of the MCC-IMS) showed statistically significant differences in at least one of the investigated bacteria. The VOC patterns of the bacteria within the HAP panel differed substantially and allowed species differentiation. Conclusions MCC-IMS headspace analyses allow differentiation of bacteria within HAP-relevant panel after 6 h of incubation in a complex fluid growth medium. The method has the potential to be developed towards a feasible point-of-care diagnostic tool for pathogen differentiation on HAP.
first_indexed 2024-12-17T01:29:12Z
format Article
id doaj.art-da473b068507407a9049198c699b140e
institution Directory Open Access Journal
issn 1471-2180
language English
last_indexed 2024-12-17T01:29:12Z
publishDate 2021-02-01
publisher BMC
record_format Article
series BMC Microbiology
spelling doaj.art-da473b068507407a9049198c699b140e2022-12-21T22:08:38ZengBMCBMC Microbiology1471-21802021-02-012111910.1186/s12866-021-02102-8Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteriaNils Kunze-Szikszay0Maximilian Euler1Martin Kuhns2Melanie Thieß3Uwe Groß4Michael Quintel5Thorsten Perl6Department of Anesthesiology, University Medical Center GöttingenDepartment of Anesthesiology, University Medical Center GöttingenInstitute for Medical Microbiology, University of GöttingenInstitute of Plant Science and Microbiology, Molecular Plant Genetics, University of HamburgInstitute for Medical Microbiology, University of GöttingenDepartment of Anesthesiology, University Medical Center GöttingenDepartment of General, Visceral and Pediatric Surgery, University Medical Center GöttingenAbstract Background Hospital-acquired pneumonia (HAP) is a common problem in intensive care medicine and the patient outcome depends on the fast beginning of adequate antibiotic therapy. Until today pathogen identification is performed using conventional microbiological methods with turnaround times of at least 24 h for the first results. It was the aim of this study to investigate the potential of headspace analyses detecting bacterial species-specific patterns of volatile organic compounds (VOCs) for the rapid differentiation of HAP-relevant bacteria. Methods Eleven HAP-relevant bacteria (Acinetobacter baumanii, Acinetobacter pittii, Citrobacter freundii, Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, Staphylococcus aureus, Serratia marcescens) were each grown for 6 hours in Lysogeny Broth and the headspace over the grown cultures was investigated using multi-capillary column-ion mobility spectrometry (MCC-IMS) to detect differences in the VOC composition between the bacteria in the panel. Peak areas with changing signal intensities were statistically analysed, including significance testing using one-way ANOVA or Kruskal-Wallis test (p < 0.05). Results 30 VOC signals (23 in the positive ion mode and 7 in the negative ion mode of the MCC-IMS) showed statistically significant differences in at least one of the investigated bacteria. The VOC patterns of the bacteria within the HAP panel differed substantially and allowed species differentiation. Conclusions MCC-IMS headspace analyses allow differentiation of bacteria within HAP-relevant panel after 6 h of incubation in a complex fluid growth medium. The method has the potential to be developed towards a feasible point-of-care diagnostic tool for pathogen differentiation on HAP.https://doi.org/10.1186/s12866-021-02102-8PneumoniaMicrobiological techniquesVolatile organic compoundMetaboliteIon mobility spectrometry
spellingShingle Nils Kunze-Szikszay
Maximilian Euler
Martin Kuhns
Melanie Thieß
Uwe Groß
Michael Quintel
Thorsten Perl
Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria
BMC Microbiology
Pneumonia
Microbiological techniques
Volatile organic compound
Metabolite
Ion mobility spectrometry
title Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria
title_full Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria
title_fullStr Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria
title_full_unstemmed Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria
title_short Headspace analyses using multi-capillary column-ion mobility spectrometry allow rapid pathogen differentiation in hospital-acquired pneumonia relevant bacteria
title_sort headspace analyses using multi capillary column ion mobility spectrometry allow rapid pathogen differentiation in hospital acquired pneumonia relevant bacteria
topic Pneumonia
Microbiological techniques
Volatile organic compound
Metabolite
Ion mobility spectrometry
url https://doi.org/10.1186/s12866-021-02102-8
work_keys_str_mv AT nilskunzeszikszay headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria
AT maximilianeuler headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria
AT martinkuhns headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria
AT melaniethieß headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria
AT uwegroß headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria
AT michaelquintel headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria
AT thorstenperl headspaceanalysesusingmulticapillarycolumnionmobilityspectrometryallowrapidpathogendifferentiationinhospitalacquiredpneumoniarelevantbacteria