PMID- 23845229 OWN - NLM STAT- MEDLINE DCOM- 20140424 LR - 20220317 IS - 1872-8359 (Electronic) IS - 0167-7012 (Linking) VI - 94 IP - 3 DP - 2013 Sep TI - Rapid and reliable MALDI-TOF mass spectrometry identification of Candida non-albicans isolates from bloodstream infections. PG - 262-6 LID - S0167-7012(13)00205-4 [pii] LID - 10.1016/j.mimet.2013.07.001 [doi] AB - Matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry (MS) fingerprinting has recently become an effective instrument for rapid microbiological diagnostics and in particular for identification of micro-organisms directly in a positive blood culture. The aim of the study was to evaluate a collection of 82 stored yeast isolates from bloodstream infection, by MALDI-TOF MS; 21 isolates were identified also directly from positive blood cultures and in the presence of other co-infecting micro-organisms. Of the 82 isolates grown on plates, 64 (76%) were correctly identified by the Vitek II system and 82 (100%) by MALDI-TOF MS; when the two methods gave different results, the isolate was identified by PCR. MALDI-TOF MS was unreliable in identifying two isolates (Candida glabrata and Candida parapsilosis) directly from blood culture; however, direct analysis from positive blood culture samples was fast and effective for the identification of yeast, which is of great importance for early and adequate treatment. CI - (c) 2013. Published by Elsevier B.V. All rights reserved. FAU - Pulcrano, Giovanna AU - Pulcrano G AD - Department of Molecular Medicine and Medical Biotechnology, Medicine School, University of Naples Federico II, via Pansini, 80131, Naples, Italy. giovannapulcrano@libero.it FAU - Iula, Dora Vita AU - Iula DV FAU - Vollaro, Antonio AU - Vollaro A FAU - Tucci, Alessandra AU - Tucci A FAU - Cerullo, Monica AU - Cerullo M FAU - Esposito, Matilde AU - Esposito M FAU - Rossano, Fabio AU - Rossano F FAU - Catania, Maria Rosaria AU - Catania MR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130709 PL - Netherlands TA - J Microbiol Methods JT - Journal of microbiological methods JID - 8306883 SB - IM MH - *Candida/chemistry/classification/isolation & purification MH - Candidemia/*microbiology MH - Cluster Analysis MH - Humans MH - Mycological Typing Techniques/*methods MH - Phylogeny MH - Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/*methods OTO - NOTNLM OT - BC OT - BSI OT - Bloodstream infections OT - Candida non-albicans OT - ICU OT - ITS OT - MALDI-TOF OT - Vitek II OT - blood culture OT - bloodstream infection OT - intensive care unit OT - internal transcribed spacer OT - matrix-assisted laser desorption/ionization time-of-flight EDAT- 2013/07/13 06:00 MHDA- 2014/04/25 06:00 CRDT- 2013/07/13 06:00 PHST- 2013/05/12 00:00 [received] PHST- 2013/06/30 00:00 [revised] PHST- 2013/07/01 00:00 [accepted] PHST- 2013/07/13 06:00 [entrez] PHST- 2013/07/13 06:00 [pubmed] PHST- 2014/04/25 06:00 [medline] AID - S0167-7012(13)00205-4 [pii] AID - 10.1016/j.mimet.2013.07.001 [doi] PST - ppublish SO - J Microbiol Methods. 2013 Sep;94(3):262-6. doi: 10.1016/j.mimet.2013.07.001. Epub 2013 Jul 9.