Beyond Identification: Emerging and Future Uses for MALDI-TOF Mass Spectrometry in the Clinical Microbiology Laboratory

被引:35
作者
DeMarco, Mari L. [1 ]
Ford, Bradley A. [2 ]
机构
[1] Univ British Columbia, St Pauls Hosp, Dept Pathol & Lab Med, Vancouver, BC V6Z 1Y6, Canada
[2] Univ Iowa Hosp & Clin, Dept Pathol, Iowa City, IA 52242 USA
关键词
Antimicrobial susceptibility testing; Bacteremia; Bloodstream infection; Direct identification; MALDI-TOF; Mass spectrometry; Urinary tract infection; Machine learning; DESORPTION IONIZATION-TIME; BLOOD-CULTURE BOTTLES; ASSISTED-LASER-DESORPTION/IONIZATION; RAPID IDENTIFICATION; STAPHYLOCOCCUS-AUREUS; URINE SAMPLES; BACTERIA; RESISTANCE; DIFFERENTIATION; BIOTYPER;
D O I
10.1016/j.cll.2013.03.013
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
The routine use of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) has revolutionized microorganism identification in the clinical microbiology laboratory. Building from these now common microorganism identification strategies, this review explores future clinical applications of MALDI-TOF MS. This includes practical approaches for laboratorians interested in implementing direct identification processing methods for MALDI-TOF detection of microbes in bloodstream infection (BSI) and urinary tract infection (UTI), as well as, post-analytical approaches for classifying MALDI-TOF spectral data to detect characteristics other and species-level identification (e.g. strain-level classification, typing, and resistance mechanisms).
引用
收藏
页码:611 / +
页数:19
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