Multicenter evaluation of the Sepsityper™ extraction kit and MALDI‐TOF MS for direct identification of positive blood culture isolates using the BD BACTEC™ FX and VersaTREK® diagnostic blood culture systems

AIMS: (i) Evaluation of delayed time to blood culture extraction by the Sepsityper kit and impact of shipping pellets off‐site for MALDI‐TOF MS analysis. (ii) Comparison of Sepsityper and laboratory‐developed extraction methods from a literature review. METHODS AND RESULTS: Using two blood culture s...

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Veröffentlicht in:Journal of applied microbiology 2014-04, Vol.116 (4), p.934-941
Hauptverfasser: Schieffer, K.M, Tan, K.E, Stamper, P.D, Somogyi, A, Andrea, S.B, Wakefield, T, Romagnoli, M, Chapin, K.C, Wolk, D.M, Carroll, K.C
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container_end_page 941
container_issue 4
container_start_page 934
container_title Journal of applied microbiology
container_volume 116
creator Schieffer, K.M
Tan, K.E
Stamper, P.D
Somogyi, A
Andrea, S.B
Wakefield, T
Romagnoli, M
Chapin, K.C
Wolk, D.M
Carroll, K.C
description AIMS: (i) Evaluation of delayed time to blood culture extraction by the Sepsityper kit and impact of shipping pellets off‐site for MALDI‐TOF MS analysis. (ii) Comparison of Sepsityper and laboratory‐developed extraction methods from a literature review. METHODS AND RESULTS: Using two blood culture systems (BD BACTEC and VersaTREK), we extracted 411 positive blood cultures using the Sepsityper kit to mimic a potential protocol for institutions without a MALDI‐TOF MS. Extracted pellets were shipped and analysed on the Bruker UltraflexIII. Successful extraction of 358 (87·1%) samples was determined by the presence of detectable proteins. MALDI‐TOF MS correctly identified 332 (80·8%) samples. CONCLUSIONS: Delayed time to extraction did not affect Sepsityper extraction or MALDI‐TOF MS accuracy. The extracted pellets remain stable and provide accurate results by MALDI‐TOF MS when shipped at room temperature to off‐site reference laboratories. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first study to show that institutions without a MALDI‐TOF MS can take advantage of this innovative technology by shipping a volume of blood to an off‐site laboratory for extraction and MALDI‐TOF MS analysis. We also performed a literature review to compare various extraction methods.
doi_str_mv 10.1111/jam.12434
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(ii) Comparison of Sepsityper and laboratory‐developed extraction methods from a literature review. METHODS AND RESULTS: Using two blood culture systems (BD BACTEC and VersaTREK), we extracted 411 positive blood cultures using the Sepsityper kit to mimic a potential protocol for institutions without a MALDI‐TOF MS. Extracted pellets were shipped and analysed on the Bruker UltraflexIII. Successful extraction of 358 (87·1%) samples was determined by the presence of detectable proteins. MALDI‐TOF MS correctly identified 332 (80·8%) samples. CONCLUSIONS: Delayed time to extraction did not affect Sepsityper extraction or MALDI‐TOF MS accuracy. The extracted pellets remain stable and provide accurate results by MALDI‐TOF MS when shipped at room temperature to off‐site reference laboratories. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first study to show that institutions without a MALDI‐TOF MS can take advantage of this innovative technology by shipping a volume of blood to an off‐site laboratory for extraction and MALDI‐TOF MS analysis. We also performed a literature review to compare various extraction methods.</abstract><cop>Oxford</cop><pub>Blackwell Science</pub><pmid>24410849</pmid><doi>10.1111/jam.12434</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current)
subjects bacteraemia
Bacteremia - diagnosis
Bacteria - isolation & purification
Bacterial Proteins - analysis
Bacterial Proteins - isolation & purification
Bacteriological Techniques - methods
Biological and medical sciences
Biotechnology
Blood
blood cultures
blood volume
Fundamental and applied biological sciences. Psychology
Humans
MALDI‐TOF MS
matrix-assisted laser desorption-ionization mass spectrometry
Microbiology
pellets
proteins
sepsis
Sepsityper
shipping
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization - methods
technology
temperature
title Multicenter evaluation of the Sepsityper™ extraction kit and MALDI‐TOF MS for direct identification of positive blood culture isolates using the BD BACTEC™ FX and VersaTREK® diagnostic blood culture systems
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