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논문 기본 정보

자료유형
학술저널
저자정보
Jun Son Young (Department of Laboratory Medicine National Insurance Service Ilsan Hospital Goyang Korea) Kim Young Ah (Department of Laboratory Medicine National Insurance Service Ilsan Hospital Goyang Korea) Lee Suk-Jun (Department of Biomedical Laboratory Science Cheongju University Cheongju Korea) Jung Woon-Won (Department of Biomedical Laboratory Science Cheongju University Cheongju Korea) Kim Hyun-Sook (Department of Biomedical Laboratory Science Cheongju University Cheongju Korea) Kim Sung-Soo (Department of Health Administration) Kim Hyunsoo (Department of Laboratory Medicine National Police Hospital Seoul Korea) Yong Dongeun (Research Institute of Bacterial Resistance and Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea) Lee Kyungwon (Research Institute of Bacterial Resistance and Department of Laboratory Medicine Yonsei University College of Medicine Seoul KoreaSeoul Clinical Laboratories Yongin Korea)
저널정보
대한진단검사의학회 Annals of Laboratory Medicine Annals of Laboratory Medicine 제43권 제2호
발행연도
2023.3
수록면
174 - 179 (6page)
DOI
10.3343/alm.2023.43.2.174

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Background: Development of an accessible method to routinely evaluate the clonality of strains is needed in microbiology laboratories. We compared the discriminatory power of the Fourier-transform infrared (FTIR) spectroscopy–based IR Biotyper (Bruker Daltonics GmbH, Bremen, Germany) to matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS), using whole-genome sequencing (WGS) as the reference method. Methods: Eighty-three extended-spectrum β-lactamase–producing Escherichia coli isolates were tested using WGS, MALDI-TOF MS, and IR Biotyper. Simpson’s diversity index (SDI), a statistical analysis for testing the homogeneity of a dendrogram, and the adjusted Rand index (aRI) were used to compare the discriminatory ability between typing tests. Results: The SDI (95% confidence interval) was 0.969 (0.952–0.985) for WGS, 0.865 (0.807–0.924) for MALDI-TOF MS, and 0.974 (0.965–0.983) for IR Biotyper. Compared with WGS, IR Biotyper showed compatible diversity, whereas MALDI-TOF MS did not. The concordance and aRI improved from 66.3% to 84.3% and from 0.173 to 0.538, respectively, for IR Biotyper versus MALDI-TOF MS with WGS as the reference method. IR Biotyper showed substantially improved performance in strain typing compared with MALDI-TOF MS. Conclusions: IR Biotyper is useful for diversity analysis with improved discriminatory power over MALDI-TOF MS in comparison with WGS as a reference method. IR Biotyper is an accessible method to evaluate the clonality of strains and could be applied in epidemiological analysis during an outbreak of a health care facility, as well as for research on the transmission of resistant bacteria in community settings.

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