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Application of matrix-assisted laser desorption ionization time-of-flight mass spectrometry in the screening of vanA-positive Enterococcus faecium

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机构: [1]Department of Laboratory Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China [2]Department of Laboratory Medicine, Beijing Tsinghua ChangGung Hospital, Medical Centre, Tsinghua University, Beijing 102218, China.
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关键词: Enterococcus faecium vancomycin mass spectrometry resistance

摘要:
In order to evaluate a rapid matrix-assisted laser desorption ionization-time of flight mass spectrometry (MAIDI-TOF MS) assay in screening vancomycin-resistant Enterococcus faecium, a total of 150 E. faecium clinical strains were studied, including 60 vancomycin-resistant E. faecium (VREF) isolates and 90 vancomycin-susceptible (VSEF) strains. Vancomycin resistance genes were detected by sequencing. E. faecium were identified by MALDI-TOF MS. A genetic algorithm model with ClinProTools software was generated using the spectra of 30 VREF isolates and 30 VSEF isolates. Using this model, 90 test isolates were discriminated between VREF and VSEF. The results show that all 60 VREF isolates carried the vanA gene. The performance of VREF detection by the genetic algorithm model of MALDI-TOF MS compared to the sequencing method was sensitivity = 80%, specificity = 90%, false-positive rate = 10%, false-negative rate = 10%, positive predictive value = 80%, negative predictive value = 90%. MALDI-TOF MS can be used as u screening test for discrimination between vanA-positive E. faecium and vanA-negative E. frecium.

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出版当年[2013]版:
大类 | 4 区 物理
小类 | 4 区 物理:原子、分子和化学物理 4 区 光谱学
最新[2023]版:
大类 | 4 区 化学
小类 | 4 区 物理:原子、分子和化学物理 4 区 光谱学
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出版当年[2012]版:
Q3 SPECTROSCOPY Q4 PHYSICS, ATOMIC, MOLECULAR & CHEMICAL
最新[2023]版:
Q3 SPECTROSCOPY Q4 PHYSICS, ATOMIC, MOLECULAR & CHEMICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

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第一作者机构: [1]Department of Laboratory Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
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