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논문 기본 정보

자료유형
학술저널
저자정보
Song Junhyup (Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University) Yoon Shinyoung (Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University) In Yongha (Department of Database Control Nosquest Inc. Gyeonggi-do Korea) Kim Daewon (Department of Laboratory Medicine Gil Medical Center Gachon University College of Medicine Incheon) Lee Hyukmin (Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University) Yong Dongeun (Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University) Lee Kyoungwon (Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University)
저널정보
대한진단검사의학회 Annals of Laboratory Medicine Annals of Laboratory Medicine 제42권 제3호
발행연도
2022.5
수록면
358 - 362 (5page)
DOI
10.3343/alm.2022.42.3.358

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Identifying Mycobacterium using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is challenging. We evaluated the performance of MALDI-TOF MS in identifying nontuberculous mycobacteria (NTM) using the ASTA MicroIDSys system (ASTA Inc., Suwon, Korea) with the MycoDB v1.95s and upgraded MycoDB v2.0-beta databases. We tested 124 NTM isolates collected from Ogawa medium at Severance Hospital, Seoul, Korea, between January and April 2019. MicroIDSys scores were categorized into three groups: ≥140, reliable identification; 130?139, ambiguous identification; and <130, invalid identification. To validate the results, we used the reverse blot hybridization assay (Molecutech REBA MycoID, YD Diagnostics Corp., Korea). Initial analysis using MycoDB v1.95s resulted in 26.6% (33/124) reliable, 43.5% (54/124) ambiguous, and 29.8% (37/124) invalid identifications. Re-analysis using the upgraded MycoDB v2.0-beta database resulted in 94.4% (117/124) reliable, 4.0% (5/124) ambiguous, and 1.6% invalid (2/124) identifications. The percentage of reliable identifications that matched with the reference increased from 26.6% (33/124) with MycoDB v1.95s to 93.5% (116/124) with MycoDB v2.0-beta. The upgraded databases enable substantially improved NTM identification through deep learning in the inference algorithm and by considering more axes in the correlation analysis. MALDI-TOF MS using the upgraded database unambiguously identified most NTM species. Our study lays a foundation for applying MALDI-TOF MS for the simple and rapid identification of NTM isolated from solid media.

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