Aim:Identification of pathogenic clinical bacterial isolates is mainly dependent on
phenotypic and genotypic characteristics of the microorganisms. These conventional
methods are costive, time-consuming, and need special skills and training. An
alternative, mass spectral (proteomics) analysis method for identification of
clinical bacterial isolates has been recognized as a rapid, reliable, and
economical method for identification. This study was aimed to evaluate and compare
the performance, sensitivity and reliability of traditional bacteriology,
phenotypic methods and matrix-assisted laser desorption-ionization-time-of-flight
mass spectrometry (MALDI-TOF MS) in the identification of clinical
Escherichia coli and Salmonella isolates
recovered from chickens.Materials and Methods:A total of 110 samples (cloacal, liver, spleen, and/or gall bladder) were
collected from apparently healthy and diseased chickens showing clinical signs as
white chalky diarrhea, pasty vent, and decrease egg production as well as freshly
dead chickens which showing postmortem lesions as enlarged liver with congestion
and enlarged gall bladder from different poultry farms.Results:Depending on colonial characteristics and morphological characteristics,
E. coli and Salmonella isolates were
recovered and detected in only 42 and 35 samples, respectively. Biochemical
identification using API 20E identification system revealed that the suspected
E. coli isolates were 33 out of 42 of colonial and
morphological identified E. coli isolates where
Salmonella isolates were represented by 26 out of 35 of
colonial and morphological identified Salmonella isolates.
Serological identification of isolates revealed that the most predominant
E. coli serotypes were O1 and O78 while the most predominant
Salmonella serotype of Salmonella was
Salmonella Pullorum. All E. coli and
Salmonella isolates were examined using MALDI-TOF MS. In
agreement with traditional identification, MADI-TOF MS identified all clinical
bacterial samples with valid scores as E. coli and
Salmonella isolates except two E. coli
isolates recovered from apparently healthy and diseased birds, respectively, with
recovery rate of 93.9% and 2 Salmonella isolates recovered
from apparently healthy and dead birds, respectively, with recovery rate of
92.3%.Conclusion:Our study demonstrated that Bruker MALDI-TOF MS Biotyper is a reliable rapid and
economic tool for the identification of Gram-negative bacteria especially
E. coli and Salmonella which could be used as
an alternative diagnostic tool for routine identification and differentiation of
clinical isolates in the bacteriological laboratory. MALDI-TOF MS need more
validation and verification and more study on the performance of direct colony and
extraction methods to detect the most sensitive one and also need using more
samples to detect sensitivity, reliability, and performance of this type of
bacterial identification.