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

M Oviaño, A Ingebretsen, AK Steffensen, A Croxatto… - Diagnostics, 2021 - mdpi.com
M Oviaño, A Ingebretsen, AK Steffensen, A Croxatto, G Prod'hom, L Quiroga, G Bou…
Diagnostics, 2021mdpi.com
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® II kit and then compared
with the routine gold standard. A subset of monomicrobial BCs (n= 560) were analyzed in
parallel with a Sepsityper® Kit (Bruker Daltonics, Bremen, Germany) and compared with the …
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® II kit and then compared with the routine gold standard. A subset of monomicrobial BCs (n = 560) were analyzed in parallel with a Sepsityper® Kit (Bruker Daltonics, Bremen, Germany) and compared with the rapid BACpro® 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® 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® Kit showed that the rapid BACpro® 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.
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