Multicentre study on the reproducibility of MALDI-TOF MS for nontuberculous mycobacteria identification

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Rodríguez-Temporal, David
Alcaide, Fernando
Marekovic, Ivana
O'Connor, James Anthony
Gorton, Rebecca
van Ingen, Jakko
Van den Bossche, An
Héry‑Arnaud, Genevieve
Beauruelle, Clémence
Orth‑Höller, Dorothea

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Rodriguez-Temporal D, Alcaide F, Mareković I, O'Connor JA, Gorton R, van Ingen J, Van den Bossche A, Héry-Arnaud G, Beauruelle C, Orth-Höller D, Palacios-Gutiérrez JJ, Tudó G, Bou G, Ceyssens PJ, Garrigó M, González-Martin J, Greub G, Hrabak J, Ingebretsen A, Mediavilla-Gradolph MC, Oviaño M, Palop B, Pranada AB, Quiroga L, Ruiz-Serrano MJ, Rodríguez-Sánchez B. Multicentre study on the reproducibility of MALDI-TOF MS for nontuberculous mycobacteria identification. Sci Rep. 2022 Jan 24;12(1):1237.

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Abstract

[Abstract] The ability of MALDI-TOF for the identification of nontuberculous mycobacteria (NTM) has improved recently thanks to updated databases and optimized protein extraction procedures. Few multicentre studies on the reproducibility of MALDI-TOF have been performed so far, none on mycobacteria. The aim of this study was to evaluate the reproducibility of MALDI-TOF for the identification of NTM in 15 laboratories in 9 European countries. A total of 98 NTM clinical isolates were grown on Löwenstein-Jensen. Biomass was collected in tubes with water and ethanol, anonymized and sent out to the 15 participating laboratories. Isolates were identified using MALDI Biotyper (Bruker Daltonics). Up to 1330 MALDI-TOF identifications were collected in the study. A score ≥ 1.6 was obtained for 100% of isolates in 5 laboratories (68.2-98.6% in the other). Species-level identification provided by MALDI-TOF was 100% correct in 8 centres and 100% correct to complex-level in 12 laboratories. In most cases, the misidentifications obtained were associated with closely related species. The variability observed for a few isolates could be due to variations in the protein extraction procedure or to MALDI-TOF system status in each centre. In conclusion, MALDI-TOF showed to be a highly reproducible method and suitable for its implementation for NTM identification.

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Multicenter study

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Creative Commons Attribution 4.0 International License (CC-BY 4.0)
Creative Commons Attribution 4.0 International License (CC-BY 4.0)

Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 International License (CC-BY 4.0)