scholarly journals Clinical evaluation of methicillin-resistant Staphylococcus aureus screening software based on MALDI-TOF MS

2021 ◽  
Vol 58 ◽  
pp. 21004374
Author(s):  
Dongeun Yong ◽  
Jong-Min Park ◽  
Kyungnam Kim ◽  
Jeong Su Park ◽  
Jae-Seok Kim
Pathogens ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 214 ◽  
Author(s):  
Kim ◽  
Kim ◽  
Chung ◽  
Chung ◽  
Han ◽  
...  

Methicillin-resistant Staphylococcus aureus (MRSA) is a serious pathogen in clinical settings and early detection is critical. Here, we investigated the MRSA discrimination potential of matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) using 320 clinical S. aureus isolates obtained in 2005–2014 and 181 isolates obtained in 2018. We conducted polymerase chain reactions (PCR) for staphylococcal cassette chromosome mec (SCCmec) typing and MALDI-TOF MS to find specific markers for methicillin resistance. We identified 21 peaks with significant differences between MRSA and methicillin-susceptible S. aureus (MSSA), as determined by mecA and SCCmec types. Each specific peak was sufficient to discriminate MRSA. We developed two methods for simple discrimination according to these peaks. First, a decision tree for MRSA based on six MRSA-specific peaks, three MSSA-specific peaks, and two SCCmec type IV peaks showed a sensitivity of 96.5%. Second, simple discrimination based on four MRSA-specific peaks and one MSSA peak had a maximum sensitivity of 88.3%. The decision tree applied to 181 S. aureus isolates from 2018 had a sensitivity of 87.6%. In conclusion, we used specific peaks to develop sensitive MRSA identification methods. This rapid and easy MALDI-TOF MS approach can improve patient management.


2011 ◽  
Vol 301 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Manuel Wolters ◽  
Holger Rohde ◽  
Thomas Maier ◽  
Cristina Belmar-Campos ◽  
Gefion Franke ◽  
...  

2021 ◽  
Vol 67 (2) ◽  
pp. 3372-3382
Author(s):  
Brigitta Horváth ◽  
Ferenc Peles ◽  
Judit Gasparikné Reichardt ◽  
Edit Pocklán ◽  
Rita Sipos ◽  
...  

The presence of methicillin-resistant Staphylococcus aureus (MRSA) strains in the food chain has been confirmed by several studies in the European Union, but there are only limited data available in Hungary. The objective of the present study was to investigate the antibiotic resistance of Staphylococcus strains isolated from foods, using classical microbiological, molecular biological methods and the MALDI-TOF-MS technique, as well as the multi-locus sequence typing (MLST) of antibiotic resistant strains. During the study, 47 coagulase-positive (CPS) and 30 coagulase-negative (CNS) Staphylococcus isolates were collected. In the course of the MALDI-TOF-MS investigations, all CPS isolates (n=47) were found to be S. aureus species, while 8 different species were identified in the case of the CNS strains. Methicillin resistance was confirmed in two S. aureus strains, one of which had a sequence type not yet known, while the other MRSA strain was type ST398, which is the most common type of MRSA strain isolated from farm animals in the EU/EEA. (The abbreviation “MRSA” is often used in common parlance, but occasionally in the literature to denote “multidrug-resistant Staphylococcus aureus”. In the authors’ manuscript - the methicillin-resistant pathogen is correctly designated as such. Ed.)


2021 ◽  
Vol 67 (2) ◽  
pp. 3361-3371
Author(s):  
Brigitta Horváth ◽  
Ferenc Peles ◽  
Judit Gasparikné Reichardt ◽  
Edit Pocklán ◽  
Rita Sipos ◽  
...  

A methicillin-rezisztens Staphylococcus aureus (MRSA) törzsek élelmiszerláncban előforduló jelenlétét számos tanulmány igazolta az Európai Unióban, azonban Magyarországon kevés adat áll rendelkezésünkre ezzel kapcsolatban. Jelen vizsgálat célja az élelmiszerekből izolált Staphylococcus törzsek antibiotikum rezisztenciá-jának vizsgálata klasszikus mikrobiológiai, molekuláris biológiai módszerekkel és MALDI-TOF-MS technikával, továbbá az antibiotikum rezisztens törzsek multilókusz szekvencia tipizálása (MLST). A vizsgálat során 47 koaguláz-pozitív (CPS) és 30 koaguláz-negatív Staphylococcus (CNS) izolátumot gyűjtöttünk. A MALDI-TOF-MS vizsgálat során minden CPS izolátum (n=47) S. aureus fajnak bizonyult, míg a CNS törzsek esetében 8 különböző fajt azonosítottunk. Két S. aureus törzs esetében állapítottunk meg methicillin-rezisztenciát, amelyek közül az egyik izolátum eddig még nem ismert szekvencia típusba, míg a másik MRSA törzs az ST398 típusba tartozott, amely a mezőgazdasági haszonállatokból izolált MRSA törzsek leggyakoribb típusa az EU/EGT területén. (Az „MRSA” rövidítést köznapi szóhasználatban, de esetenként a szakirodalomban is gyakran a „multirezisztens Staphylococcus aureus” megjelölésére használják. A szerzők kéziratában - helyesen a methicillin-rezisztens kórokozót jelölik így. A Szerk.)


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