Evidence map›Paper›PMID 28609453›Full record

ArticlePloS one2017

Evaluation of a matrix-assisted laser desorption ionization-time of flight mass spectrometry assisted, selective broth method to screen for vancomycin-resistant enterococci in patients at high risk.

Tsi-Shu Huang, Susan Shin-Jung Lee, Chia-Chien Lee, Chiu-Yen Chen, Fang-Chen Chen, Bao-Chen Chen, Cheng Len Sy, Kuan-Sheng Wu

Abstract readEvaluation Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tsi-Shu HuangDivision of Microbiology, Department of pathology and laboratory medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Susan Shin-Jung LeeDivision of Microbiology, Department of pathology and laboratory medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Chia-Chien LeeDivision of Microbiology, Department of pathology and laboratory medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Chiu-Yen ChenDepartment of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Fang-Chen ChenDepartment of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Bao-Chen ChenDivision of Microbiology, Department of pathology and laboratory medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Cheng Len SyDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Kuan-Sheng WuDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0002-2872-9819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBile esculin azide with vancomycin (BEAV) medium is a sensitive, but slightly less specific method for vancomycin-resistant enterococci (VRE) screening. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is a rapid method for identification of clinical pathogens. This study aimed to assess the performance of a novel combination screening test for VRE, using BEAV broth combined with MALDI-TOF MS. MATERIALS AND

methodsClinical specimens were collected from patients at risk of VRE carriage, and tested by the novel combination method, using selective BEAV broth culture method followed by MALDI-TOF MS identification (SBEAVM). The reference method used for comparison was the ChromID VRE agar method.

resultsA total of 135 specimens were collected from 78 patients, and 63 specimens tested positive for VRE positive using the ChromID VRE method (positive rate 46.7%). The sensitivity, specificity, positive predictive value, and negative predictive value of SBEAVM method after an incubation period of 28 hours were 93.7%, 90.3%, 89.4%, and 94.2%, respectively. The SBEAVM method when compared to the ChromID VRE method had a shorter turnaround time (29 vs. 48-72 hours) and lower laboratory cost ($2.11 vs. $3.23 per test).

conclusionsThis study demonstrates that SBEAVM is a rapid, inexpensive, and accurate method for use in VRE screening.

Indexed as

Culture MediaGram-Positive Bacterial InfectionsHumansMass ScreeningMass SpectrometryReproducibility of ResultsSensitivity and SpecificitySpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationVancomycin-Resistant EnterococciCulture Media

Identifiers

PMID28609453
PMCPMC5469485

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