Autof ms 1000与MALDI Biotyper对临床常见丝状病原真菌鉴定的比较分析

Comparative analysis of Autof ms 1000 and MALDI Biotyper in the identification of common filamentous pathogenic fungi in clinic

  • 摘要: 目的:研究比较两种基质辅助激光解吸电离飞行时间质谱仪(Autof ms 1000与MALDI Biotyper)对临床常见丝状病原真菌鉴定的准确性和效率。方法:共纳入32株丝状病原真菌标准菌株和120株临床分离菌株,按照标准操作方法分别用Autof ms 1000与MALDI Biotyper对相关菌株进行鉴定,对相关结果及测序分子鉴定结果进行对比分析。结果:在种水平上,Autof ms 1000质谱仪共检出140株丝状病原真菌,检出正确率为92.1%(140/152),其中126株分值在9.0以上,2株出现错误鉴定,误鉴定比例为1.3%(2/152);MALDI Biotyper质谱仪共正确检出98株,检出正确率为64.4%,2.0分以上的菌株47株,仅3株鉴定分值大于2.3分,7株出现误鉴定。结论:Autof ms 1000与MALDI Biotyper这两种质谱鉴定系统均能用于临床常见丝状病原真菌的快速鉴定,而Autof ms 1000质谱仪更具优势。

     

    Abstract: Objective: To compare the accuracy and efficiency of two matrix-assisted laser desorption ionization time-of-flight mass spectrometry instruments(Autof ms 1000 and MALDI Biotyper) in identifying common clinical filamentous fungi. Methods: This study included 32 standard strains of filamentous fungi and 120 clinical isolates. The strains were identified using Autof ms 1000 and MALDI Biotyper according to standard operating procedures. The results were compared with sequencing molecular identification results. Results: At the species level, the Autof ms 1000 mass spectrometer detected 140 strains of filamentous fungi, with a detection accuracy rate of 92.1%(140/152). Among them, 126 strains had scores above 9.0, and 2 strains were misidentified, with a misidentification rate of 1.3%(2/152). The MALDI Biotyper mass spectrometer detected 98 strains, with a detection accuracy rate of 64.4%. There were 47 strains with scores above 2.0, only 3 strains had scores above 2.3, and 7strains were misidentified. Conclusion: Both the Autof ms 1000 and MALDI Biotyper mass spectrometry identification systems can be used for rapid identification of common filamentous pathogenic fungi in clinical practice,while the Autof ms 1000 mass spectrometer has more advantages.

     

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