Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.

Filamentous fungi are an emergent cause of severe infections in immunocompromised patients. Timely and accurate identification is crucial to initiate appropriate therapy. Traditional identification methods are time-consuming, labor-intensive, and operator-dependent. Matrix-assisted laser desorption/...

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Main Authors: Lorena Porte, Rodrigo Cruz, Inia Pérez, Carmen Varela, Cristina Díaz, Patricia García, Paulette Legarraga, Francisca Valdivieso, Thomas Weitzel
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0315690
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author Lorena Porte
Rodrigo Cruz
Inia Pérez
Carmen Varela
Cristina Díaz
Patricia García
Paulette Legarraga
Francisca Valdivieso
Thomas Weitzel
author_facet Lorena Porte
Rodrigo Cruz
Inia Pérez
Carmen Varela
Cristina Díaz
Patricia García
Paulette Legarraga
Francisca Valdivieso
Thomas Weitzel
author_sort Lorena Porte
collection DOAJ
description Filamentous fungi are an emergent cause of severe infections in immunocompromised patients. Timely and accurate identification is crucial to initiate appropriate therapy. Traditional identification methods are time-consuming, labor-intensive, and operator-dependent. Matrix-assisted laser desorption/ionization-time-of-flight (MALDI-TOF) mass spectrometry is a rapid and easy-to-perform identification method. The effectiveness of a commercial MALDI-TOF MS platform to identify filamentous fungi in a clinical laboratory was evaluated. The study included 67 fungal isolates from 35 species/species complexes, which were identified and confirmed in mycology reference laboratories; 32 derived from clinical samples, 34 from strain collections and one was an ATCC strain. The study used the VITEK® MS system (v3.2.0 database), after sample extraction by VITEK® MS Mould Kit. Results were classified as "correct species", "correct species complex", "correct genus"and "no identification". VITEK® MS correctly identified 91.0% of isolates (58.2% to species, 29.9% to species complex, and 1.5% to genus level only). In 82%, the result matched the species/species complex identified by reference methods. No misidentifications were observed. The kit was rapid and easy to use. In conclusion, the VITEK® MS system showed a high capability to accurately identify filamentous fungi in a clinical laboratory.
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spelling doaj-art-3cf2ef662776465894a288575fd1df632025-08-20T02:35:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031569010.1371/journal.pone.0315690Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.Lorena PorteRodrigo CruzInia PérezCarmen VarelaCristina DíazPatricia GarcíaPaulette LegarragaFrancisca ValdiviesoThomas WeitzelFilamentous fungi are an emergent cause of severe infections in immunocompromised patients. Timely and accurate identification is crucial to initiate appropriate therapy. Traditional identification methods are time-consuming, labor-intensive, and operator-dependent. Matrix-assisted laser desorption/ionization-time-of-flight (MALDI-TOF) mass spectrometry is a rapid and easy-to-perform identification method. The effectiveness of a commercial MALDI-TOF MS platform to identify filamentous fungi in a clinical laboratory was evaluated. The study included 67 fungal isolates from 35 species/species complexes, which were identified and confirmed in mycology reference laboratories; 32 derived from clinical samples, 34 from strain collections and one was an ATCC strain. The study used the VITEK® MS system (v3.2.0 database), after sample extraction by VITEK® MS Mould Kit. Results were classified as "correct species", "correct species complex", "correct genus"and "no identification". VITEK® MS correctly identified 91.0% of isolates (58.2% to species, 29.9% to species complex, and 1.5% to genus level only). In 82%, the result matched the species/species complex identified by reference methods. No misidentifications were observed. The kit was rapid and easy to use. In conclusion, the VITEK® MS system showed a high capability to accurately identify filamentous fungi in a clinical laboratory.https://doi.org/10.1371/journal.pone.0315690
spellingShingle Lorena Porte
Rodrigo Cruz
Inia Pérez
Carmen Varela
Cristina Díaz
Patricia García
Paulette Legarraga
Francisca Valdivieso
Thomas Weitzel
Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.
PLoS ONE
title Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.
title_full Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.
title_fullStr Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.
title_full_unstemmed Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.
title_short Performance of the VITEK® MS system for the identification of filamentous fungi in a microbiological laboratory in Chile.
title_sort performance of the vitek r ms system for the identification of filamentous fungi in a microbiological laboratory in chile
url https://doi.org/10.1371/journal.pone.0315690
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