Multicenter Evaluation of Rapid BACpro<sup>®</sup> II for the Accurate Identification of Microorganisms Directly from Blood Cultures Using MALDI-TOF MS.

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State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_7F62466B4AB7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multicenter Evaluation of Rapid BACpro<sup>®</sup> II for the Accurate Identification of Microorganisms Directly from Blood Cultures Using MALDI-TOF MS.
Journal
Diagnostics
Author(s)
Oviaño M., Ingebretsen A., Steffensen A.K., Croxatto A., Prod'hom G., Quiroga L., Bou G., Greub G., Rodríguez-Temporal D., Rodríguez-Sánchez B.
ISSN
2075-4418 (Print)
ISSN-L
2075-4418
Publication state
Published
Issued date
01/12/2021
Peer-reviewed
Oui
Volume
11
Number
12
Pages
2251
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The identification of microorganisms directly from blood cultures using MALDI-TOF MS has been shown to be the most impacting application of this methodology. In this study, a novel commercial method was evaluated in four clinical microbiology laboratories. Positive blood culture samples (n = 801) were processed using a rapid BACpro <sup>®</sup> II kit and then compared with the routine gold standard. A subset of monomicrobial BCs (n = 560) were analyzed in parallel with a Sepsityper <sup>®</sup> Kit (Bruker Daltonics, Bremen, Germany) and compared with the rapid BACpro <sup>®</sup> II kit. In addition, this kit was also compared with two different in-house methods. Overall, 80.0% of the monomicrobial isolates (609/761; 95% CI 71.5-88.5) were correctly identified by the rapid BACpro <sup>®</sup> II kit at the species level (92.3% of the Gram negative and 72.4% of the Gram positive bacteria). The comparison with the Sepsityper <sup>®</sup> Kit showed that the rapid BACpro <sup>®</sup> II kit generated higher rates of correct species-level identification for all categories (p > 0.0001), except for yeasts identified with score values > 1.7. It also proved superior to the ammonium chloride method (p > 0.0001), but the differential centrifugation method allowed for higher rates of correct identification for Gram negative bacteria (p > 0.1). The percentage of accurate species-level identification of Gram positive bacteria was particularly noteworthy in comparison with other commercial and in-house methods.
Keywords
MALDI-TOF, blood culture, mass spectrometry, rapid BACpro® II kit, rapid identification
Pubmed
Web of science
Open Access
Yes
Create date
04/01/2022 10:02
Last modification date
21/07/2023 7:00
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