2013
DOI: 10.1590/s1676-24442013000300006
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Evaluation of MALDI-TOF MS in the microbiology laboratory

Abstract: Rapid identification of microorganisms by the clinical microbiology laboratory is of crucial importance for optimal patients' management and treatment. In general, bacterial identification by conventional methods requires 18-24 hours for colony isolation and at least 24 additional hours for species identification. New technologies in microbiology have focused on the rapid diagnosis of bloodstream infections, since they are associated with high morbidity and mortality rates.

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Cited by 12 publications
(9 citation statements)
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“…Once the sample is prepared, at least four replicates per strain are required, as previously recommended by Cassagne et al (14). As already observed in many studies, the interpretation of results depends on the chosen score threshold (15,16). In this study, the lower threshold considered was 20 because our experience with other organisms, such as fungi, indicates that nonspecific identifications are frequent below this threshold (17).…”
Section: Discussionmentioning
confidence: 90%
“…Once the sample is prepared, at least four replicates per strain are required, as previously recommended by Cassagne et al (14). As already observed in many studies, the interpretation of results depends on the chosen score threshold (15,16). In this study, the lower threshold considered was 20 because our experience with other organisms, such as fungi, indicates that nonspecific identifications are frequent below this threshold (17).…”
Section: Discussionmentioning
confidence: 90%
“…The identification was based on the score value released by the manufacturer’s instructions. Values from 2.3 to 1.9 indicated the best identification of genus and species [ 30 ].…”
Section: Methodsmentioning
confidence: 99%
“…It is worth noting that existing commercial databases for bacteria identification are normally built by collecting reference spectra from large cell numbers, which can provide fruitful peak information for highly confident identification. 11 , 26 However, in such a case, samples with high bacterial abundance are needed to provide spectra with good similarity to the reference for successful identification. Therefore, a large sample volume or long bacteria culture time is required.…”
Section: Resultsmentioning
confidence: 99%