A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei

Background Burkholderia pseudomallei is the bacterial causative agent of melioidosis, a difficult disease to diagnose clinically with high mortality if not appropriately treated. Definitive diagnosis requires isolation and identification of the organism. With the increased adoption of MALDI-TOF MS f...

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Main Authors: Watthanaworawit, W, Roberts, T, Hopkins, J, Gassiep, I, Norton, R, Robinson, MT, Silisouk, J, Sar, P, Sao, S, Amornchai, P, Limmathurotsakul, D, Wuthiekanun, V, Nosten, F, Simpson, AJH, Turner, P, Ling, CL
Format: Journal article
Language:English
Published: BioMed Central 2021
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author Watthanaworawit, W
Roberts, T
Hopkins, J
Gassiep, I
Norton, R
Robinson, MT
Silisouk, J
Sar, P
Sao, S
Amornchai, P
Limmathurotsakul, D
Wuthiekanun, V
Nosten, F
Simpson, AJH
Turner, P
Ling, CL
author_facet Watthanaworawit, W
Roberts, T
Hopkins, J
Gassiep, I
Norton, R
Robinson, MT
Silisouk, J
Sar, P
Sao, S
Amornchai, P
Limmathurotsakul, D
Wuthiekanun, V
Nosten, F
Simpson, AJH
Turner, P
Ling, CL
author_sort Watthanaworawit, W
collection OXFORD
description Background Burkholderia pseudomallei is the bacterial causative agent of melioidosis, a difficult disease to diagnose clinically with high mortality if not appropriately treated. Definitive diagnosis requires isolation and identification of the organism. With the increased adoption of MALDI-TOF MS for the identification of bacteria, we established a method for rapid identification of B. pseudomallei using the Vitek MS, a system that does not currently have B. pseudomallei in its in-vitro diagnostic database. Results A routine direct spotting method was employed to create spectra and SuperSpectra. An initial B. pseudomallei SuperSpectrum was created at Shoklo Malaria Research Unit (SMRU) from 17 reference isolates (46 spectra). When tested, this initial SMRU SuperSpectrum was able to identify 98.2 % (54/55) of Asian isolates, but just 46.7 % (35/75) of Australian isolates. Using spectra (430) from different reference and clinical isolates, two additional SMRU SuperSpectra were created. Using the combination of all SMRU SuperSpectra with seven existing SuperSpectra from Townsville, Australia 119 (100 %) Asian isolates and 31 (100 %) Australian isolates were correctly identified. In addition, no misidentifications were obtained when using these 11 SuperSpectra when tested with 34 isolates of other bacteria including the closely related species Burkholderia thailandensis and Burkholderia cepacia. Conclusions This study has established a method for identification of B. pseudomallei using Vitek MS, and highlights the impact of geographical differences between strains for identification using this technique.
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spelling oxford-uuid:4fa71454-7c78-487f-8233-24412bf69df52022-03-26T16:08:40ZA multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomalleiJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4fa71454-7c78-487f-8233-24412bf69df5EnglishSymplectic ElementsBioMed Central2021Watthanaworawit, WRoberts, THopkins, JGassiep, INorton, RRobinson, MTSilisouk, JSar, PSao, SAmornchai, PLimmathurotsakul, DWuthiekanun, VNosten, FSimpson, AJHTurner, PLing, CLBackground Burkholderia pseudomallei is the bacterial causative agent of melioidosis, a difficult disease to diagnose clinically with high mortality if not appropriately treated. Definitive diagnosis requires isolation and identification of the organism. With the increased adoption of MALDI-TOF MS for the identification of bacteria, we established a method for rapid identification of B. pseudomallei using the Vitek MS, a system that does not currently have B. pseudomallei in its in-vitro diagnostic database. Results A routine direct spotting method was employed to create spectra and SuperSpectra. An initial B. pseudomallei SuperSpectrum was created at Shoklo Malaria Research Unit (SMRU) from 17 reference isolates (46 spectra). When tested, this initial SMRU SuperSpectrum was able to identify 98.2 % (54/55) of Asian isolates, but just 46.7 % (35/75) of Australian isolates. Using spectra (430) from different reference and clinical isolates, two additional SMRU SuperSpectra were created. Using the combination of all SMRU SuperSpectra with seven existing SuperSpectra from Townsville, Australia 119 (100 %) Asian isolates and 31 (100 %) Australian isolates were correctly identified. In addition, no misidentifications were obtained when using these 11 SuperSpectra when tested with 34 isolates of other bacteria including the closely related species Burkholderia thailandensis and Burkholderia cepacia. Conclusions This study has established a method for identification of B. pseudomallei using Vitek MS, and highlights the impact of geographical differences between strains for identification using this technique.
spellingShingle Watthanaworawit, W
Roberts, T
Hopkins, J
Gassiep, I
Norton, R
Robinson, MT
Silisouk, J
Sar, P
Sao, S
Amornchai, P
Limmathurotsakul, D
Wuthiekanun, V
Nosten, F
Simpson, AJH
Turner, P
Ling, CL
A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei
title A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei
title_full A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei
title_fullStr A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei
title_full_unstemmed A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei
title_short A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei
title_sort multi country study using maldi tof mass spectrometry for rapid identification of burkholderia pseudomallei
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