Evidence map›Paper›PMID 31122184›Full record

ArticleBMC microbiology2019

Comparison between MALDI-TOF MS and MicroScan in the identification of emerging and multidrug resistant yeasts in a fourth-level hospital in Bogotá, Colombia.

Andrés Ceballos-Garzón, Gloria Cortes, Florent Morio, Edna L Zamora-Cruz, Melva Y Linares, Beatriz E Ariza, Sandra L Valderrama, Javier R Garzón, Carlos A Alvarez-Moreno, Patrice Le Pape and 1 more

Abstract readComparative Study
In one paragraph

Article in BMC microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Antimicrobial Resistance Profiles ofAntibiotics (Basel, Switzerland) · 2023
    Article
  7. Typing ofPathogens (Basel, Switzerland) · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Development and Validation of anJournal of fungi (Basel, Switzerland) · 2020
    Article
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

11 authors.

Andrés Ceballos-GarzónDepartamento de Microbiología, Facultad de Ciencias, Unidad de Proteomica y Micosis Humanas, Grupo de Enfermedades Infecciosas, Pontificia Universidad Javeriana, Bogotá, Colombia.
Gloria CortesLaboratorio Clínico, Área de Microbiología, Hospital Universitario San Ignacio, Bogotá, Colombia.
Florent MorioDepartment of Parasitology and Medical Mycology of the University of Nantes, Nantes Atlantique Universities, Faculty of Pharmacy, Nantes, France.
Edna L Zamora-CruzDepartamento de Microbiología, Facultad de Ciencias, Unidad de Proteomica y Micosis Humanas, Grupo de Enfermedades Infecciosas, Pontificia Universidad Javeriana, Bogotá, Colombia.
Melva Y LinaresDepartamento de Microbiología, Facultad de Ciencias, Unidad de Proteomica y Micosis Humanas, Grupo de Enfermedades Infecciosas, Pontificia Universidad Javeriana, Bogotá, Colombia.
Beatriz E ArizaLaboratorio Clínico, Área de Microbiología, Hospital Universitario San Ignacio, Bogotá, Colombia.
Sandra L ValderramaUnidad de Infectología, Departamento de Medicina Interna, Facultad de Medicina, Hospital Universitario San Ignacio, Bogotá, Colombia.
Javier R GarzónUnidad de Infectología, Departamento de Medicina Interna, Facultad de Medicina, Hospital Universitario San Ignacio, Bogotá, Colombia.
Carlos A Alvarez-MorenoGrupo de Investigación en Enfermedades Infecciosas, Hospital Universitario San Ignacio, Bogotá, Colombia.
Patrice Le PapeDepartment of Parasitology and Medical Mycology of the University of Nantes, Nantes Atlantique Universities, Faculty of Pharmacy, Nantes, France.
Claudia M Parra-GiraldoDepartamento de Microbiología, Facultad de Ciencias, Unidad de Proteomica y Micosis Humanas, Grupo de Enfermedades Infecciosas, Pontificia Universidad Javeriana, Bogotá, Colombia. claudia.parra@javeriana.edu.co.ORCID 0000-0003-1302-5429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe introduction of MALDI-TOF MS in the clinical microbiology laboratory has modified the approaches for the identification of fungi. Thanks to this tool, it is possible to identify cryptic species, which possess critical susceptibility patterns. Clinical strains were identified using the MicroScan and MALDI-TOF MS systems. Discrepant results from both methods were investigated using ITS rDNA barcoding. Finally, these isolates were also tested for in vitro susceptibility.

resultsThe percentage of agreement between both methods to 498 yeast isolates was of 93.6% (32 discrepant isolates). The concordance of ITS sequencing with MALDI-TOF MS was higher (99%) than that of MicroScan (94%). Several of these discordant yeasts displayed high MICs for antifungal agents.

conclusionsOur study highlights the need of the MS and molecular approaches such as MALDI-TOF MS and ITS rDNA barcoding for the correct identification of emerging or cryptic yeast species; besides, some of these could be multidrug resistant. This work was the first experience in the implementation of the MALDI-TOF MS technology in Colombia. We found the first uncommon yeasts including Candida auris and we could identify Trichosporon faecalis. Our work highlights a clear necessity of an accurate yeast identification as a much more pertinent technique than the susceptibility profiles, because the most unusual yeasts exhibit resistance profiles to the few available antifungals.

Indexed as

Drug Resistance, Multiple, FungalAntifungal AgentsColombiaDNA, FungalDNA, RibosomalHumansMicrobial Sensitivity TestsMycosesPhylogenySequence Analysis, DNASpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationTertiary Health CareYeastsAntifungal AgentsDNA, FungalDNA, RibosomalComparisonMALDI-TOF MSMicroScanUnusual yeastYeast identification

Identifiers

PMID31122184
PMCPMC6533654

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.