研究目的
To evaluate the sensitivity, specificity and repeatability of the automatic S.aureus subtyping module for the first time and to observe the proportion of such S.aureus in China.
研究成果
Bruker? MALDI Biotyper can detect S. aureus isolates with a high specificity and expedite the identification of MRSA isolates without adding any reagent, labor or time which is essential for appropriate therapeutic management and timely intervention for infection control.
研究不足
The sensitivity of the method was 60.2%, indicating that the threshold of this method could be further optimized to increase the sensitivity of MRSA detection. The SCCmec types of these clinical MRSA isolates were not evaluated in the study.
1:Experimental Design and Method Selection:
The study evaluated the performance of a S. aureus subtyping module for MRSA detection based on MALDI-TOF MS. The method identifies MRSA through detection of a specific PSM-mec peak.
2:Sample Selection and Data Sources:
347 non-duplicated S. aureus strains were collected from the Second Affiliated Hospital of Zhejiang University School of Medicine during January 2014 to February
3:List of Experimental Equipment and Materials:
20 MALDI-Biotyper (Bruker Daltonics, Billerica, MA, USA), VITEK-2 compact system (bioMérieux, Marcy-l’étoile, France), and disk diffusion method of cefoxitin (30ug).
4:Experimental Procedures and Operational Workflow:
Bacterial identification and antimicrobial susceptibility were performed using the VITEK-2 compact system and MALDI-Biotyper. The subtyping module automatically identified MRSA through the bacteria identification process.
5:Data Analysis Methods:
The Flex Analysis 3.3 program was used for spectrum analysis. ClinProTools software was used to analyze the discrepancy between PSM-MRSA and MSSA isolates.
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