Rapid identification of Gram-negative organisms from blood culture bottles using a modified extraction method and MALDI-TOF mass spectrometry.

Abstract:

:The application of matrix-assisted laser desorption/ionisation time-of-flight (MALDI-TOF) mass spectrometry (MS) directly to blood culture broth has potential to identify bloodstream infection earlier and facilitate timely management. We prospectively tested a novel, rapid, and inexpensive in-house spin-lysis protocol with formic acid extraction and compared MALDI-TOF MS identification of Gram-negative bacteria with traditional phenotypic methods (Phoenix™) directly from 318 BACTEC™ (Becton Dickinson, Franklin Lakes, USA) blood cultures. The MS score was ≥1.7 in 268 (91.8%) monomicrobial broths, with concordance to genus and species level of 100% and 97.0%, respectively. MALDI-TOF MS still has limited capacity to detect all species in polymicrobial broths.

authors

Gray TJ,Thomas L,Olma T,Iredell JR,Chen SC

doi

10.1016/j.diagmicrobio.2013.06.016

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

110-2

issue

2

eissn

0732-8893

issn

1879-0070

pii

S0732-8893(13)00348-9

journal_volume

77

pub_type

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