Evidence map›Paper›PMID 28737838›Full record

ArticleJournal of clinical laboratory analysis2018

Improved bacterial identification directly from urine samples with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

Koichi Kitagawa, Katsumi Shigemura, Ken-Ichiro Onuma, Masako Nishida, Mayu Fujiwara, Saori Kobayashi, Mika Yamasaki, Tatsuya Nakamura, Fukashi Yamamichi, Toshiro Shirakawa and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 17% of its field
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

18 citing papers in PubMed, 34 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Koichi KitagawaDivision of Translational Research for Biologics, Department of Internal Medicine Related, Kobe University Graduate School of Medicine, Kobe, Japan.
Katsumi ShigemuraDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Ken-Ichiro OnumaDepartment of Clinical Laboratory, Kobe University Hospital, Kobe, Japan.
Masako NishidaDepartment of Clinical Laboratory, Kobe University Hospital, Kobe, Japan.
Mayu FujiwaraDepartment of Clinical Laboratory, Kobe University Hospital, Kobe, Japan.
Saori KobayashiDepartment of Clinical Laboratory, Kobe University Hospital, Kobe, Japan.
Mika YamasakiDepartment of Clinical Laboratory, Kobe University Hospital, Kobe, Japan.
Tatsuya NakamuraInfection Control and Prevention, Kobe University Hospital, Kobe, Japan.
Fukashi YamamichiDepartment of Urology, Hara Genitourinary Hospital, Kobe, Japan.ORCID http://orcid.org/0000-0002-2162-7756
Toshiro ShirakawaDivision of Translational Research for Biologics, Department of Internal Medicine Related, Kobe University Graduate School of Medicine, Kobe, Japan.
Issei TokimatsuInfection Control and Prevention, Kobe University Hospital, Kobe, Japan.
Masato FujisawaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Kobe University Hospital · JPKobe University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMatrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) contributes to rapid identification of pathogens in the clinic but has not yet performed especially well for Gram-positive cocci (GPC) causing complicated urinary tract infection (UTI). The goal of this study was to investigate the possible clinical use of MALDI-TOF MS as a rapid method for bacterial identification directly from urine in complicated UTI.

methodsMALDI-TOF MS was applied to urine samples gathered from 142 suspected complicated UTI patients in 2015-2017. We modified the standard procedure (Method 1) for sample preparation by adding an initial 10 minutes of ultrasonication followed by centrifugation at 500 g for 1 minutes to remove debris such as epithelial cells and leukocytes from the urine (Method 2).

resultsIn 133 urine culture-positive bacteria, the rate of corresponded with urine culture in GPC by MALDI-TOF MS in urine with standard sample preparation (Method 1) was 16.7%, but the modified sample preparation (Method 2) significantly improved that rate to 52.2% (P=.045). Method 2 also improved the identification accuracy for Gram-negative rods (GNR) from 77.1% to 94.2% (P=.022). The modified Method 2 significantly improved the average MALDI score from 1.408±0.153 to 2.166±0.045 (P=.000) for GPC and slightly improved the score from 2.107±0.061 to 2.164±0.037 for GNR.

conclusionThe modified sample preparation for MALDI-TOF MS can improve identification accuracy for complicated UTI causative bacteria. This simple modification offers a rapid and accurate routine diagnosis for UTI, and may possibly be a substitute for urine cultures.

Indexed as

BacteriaBacterial LoadHumansMolecular TypingSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationUrinary Tract InfectionsUrinebacterial identificationclinical laboratorycomplicated urinary tract infectionMALDI-TOF MSmethodologyrapid diagnosis

Identifiers

PMID28737838
PMCPMC6816934
OpenAlexW2737295375

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.