Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry Identification of Mycobacteria in Routine Clinical Practice
2011

Using Mass Spectrometry to Identify Mycobacteria in Clinical Settings

Sample size: 124 publication 10 minutes Evidence: high

Author Information

Author(s): El Khéchine Amel, Couderc Carine, Flaudrops Christophe, Raoult Didier, Drancourt Michel

Primary Institution: Institut Hospitalier Universitaire POLMIT, Université de la Méditerranée et Pôle de Maladies Infectieuses, Assistance Publique-Hôpitaux de Marseille, Marseille, France

Hypothesis

Can matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) be effectively used for the identification of mycobacteria in routine clinical practice?

Conclusion

MALDI-TOF MS can be used as a first-line method for the routine identification of heat-inactivated mycobacteria.

Supporting Evidence

  • MALDI-TOF MS identified 87 M. tuberculosis and 25 M. avium clinical isolates with high accuracy.
  • The method reduced the time for identification to within 2.5 hours.
  • The study established a local database for mycobacterial identification.

Takeaway

Scientists found a fast way to identify germs that cause tuberculosis using a special machine that can tell them apart quickly.

Methodology

The study used a protocol for MALDI-TOF MS identification of heat-inactivated mycobacteria after specific preparation steps.

Potential Biases

Potential bias in the selection of mycobacterial strains and the laboratory setting.

Limitations

The study focused on specific mycobacterial species and may not be generalizable to all mycobacteria.

Participant Demographics

Clinical isolates from patients suspected of pulmonary tuberculosis.

Digital Object Identifier (DOI)

10.1371/journal.pone.0024720

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