Evidence map›Paper›PMID 31882826›Full record

ArticleScientific reports2019

An improved simple method for the identification of Mycobacteria by MALDI-TOF MS (Matrix-Assisted Laser Desorption- Ionization mass spectrometry).

Adela Alcolea-Medina, M T Cabezas Fernandez, N Montiel, M P Luzón García, C Delamo Sevilla, Nathan North, M J Martínez Lirola, Mark Wilks

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Diagnostic performance of MALDI-TOF MS for non-tuberculous mycobacteria: A systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Pooled it
  3. Current laboratory diagnostics for tuberculosis: from conventional approaches to next-generation molecular and immunological technologies.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  4. Article
  5. Surgical site infection due toJournal of clinical tuberculosis and other mycobacterial diseases · 2026
    Article
  6. Article
  7. Challenges in the Diagnosis and Treatment of Mycobacterium abscessus Infections.Revista da Sociedade Brasileira de Medicina Tropical · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Comparison ofInfection and drug resistance · 2025
    Article
  12. Comparative evaluation of MALDI-ToF mass spectrometry and Sanger sequencing of theFrontiers in cellular and infection microbiology · 2025
    Article
  13. Mycobacterium abscessus subsp. massilliense causing bartholinitis infection: A case report.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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 at 5 institutions in 2 countries.

Adela Alcolea-MedinaMicrobiology, Division of Infection, Barts Health NHS Trust, 80 Newark St, E1 2ES, London, UK.
M T Cabezas FernandezC.H.U. Torrecárdenas Almería, Calle Hermandad de Donantes de Sangre, s/n, 04009, Almería, Spain.
N MontielA.S.H. Costa del Sol, Málaga A-7, Km 187, 29603, Marbella, Málaga, Spain.
M P Luzón GarcíaAgencia Publica Sanitaria Poniente, Almeria, Spain.
C Delamo SevillaC.H.U. Torrecárdenas Almería, Calle Hermandad de Donantes de Sangre, s/n, 04009, Almería, Spain.
Nathan NorthMicrobiology, Division of Infection, Barts Health NHS Trust, 80 Newark St, E1 2ES, London, UK.
M J Martínez LirolaC.H.U. Torrecárdenas Almería, Calle Hermandad de Donantes de Sangre, s/n, 04009, Almería, Spain.
Mark WilksMicrobiology, Division of Infection, Barts Health NHS Trust, 80 Newark St, E1 2ES, London, UK. m.wilks@qmul.ac.uk.ORCID http://orcid.org/0000-0002-2170-1944
Complejo Hospitalario Torrecárdenas · ESBarts Health NHS Trust · GBHospital Costa del Sol · ESHospital de Poniente · ESQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to establish a simple method for the rapid identification of Mycobacteria species by MALDI-TOF (Matrix-Assisted Laser Desorption/Ionization-Time of Flight Mass spectrometry) using the Bruker MALDI-TOF Biotyper system (Bruker Daltonik, Bremen, Germany). A multicentre, prospective, and single blind study was performed in three European Hospitals, two Spanish and one UK hospital from May to August 2018. The BD BACTEC MGIT (Becton Dickinson, Berks, UK) liquid culture system was used in all three centres for the growth of Mycobacteria. When signal positive, tubes were removed from the analyser and in addition to standard laboratory procedures were subcultured on blood agar plates for MALDI-TOF analysis. Plates were incubated aerobically for 1 to 7 days at 37 °C and inspected every day. Once any growth was visible, it was transferred to the steel target plate, overlaid with 1 μl of neat formic acid and 1 μl HCCA matrix (alpha hydroxyl 4 cinnamic acid), and analysed in a Bruker Biotyper MALDI-TOF. Results given by MALDI-TOF were compared with the reference methods used for identification in the different centres. At two Spanish hospitals, identification by MALDI-TOF was only attempted on presumptive non-tuberculosis mycobacteria (NTM) and the results were initially compared with the results obtained by a commercial reverse hybridisation assay, GenoType CM/AS (Hain Lifescience, Tübingen, Germany). At the UK Hospital, identification of any presumptive mycobacteria was attempted and compared with the results obtained by whole genome sequencing (WGS). Overall in 142/167 (85%) of cases the identifications obtained were concordant; all Mycobacterium tuberculosis (MTB) isolates 43/43 (100%), 57/76 (75%) of the rapid growing nontuberculous mycobacteria (NTM), and 42/48 (85%) slow growing NTM tested were identified correctly. We report a new, easy, cheap and quick method for isolation and identification of Mycobacterium spp. without the need for additional steps or equipment and this method is in routine used in all three centres.

Indexed as

Diagnostic Tests, RoutineGenotypeHospitalsHumansMycobacterium Infections, NontuberculousMycobacterium tuberculosisNontuberculous MycobacteriaProspective StudiesReproducibility of ResultsSensitivity and SpecificitySingle-Blind MethodSpainSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationTuberculosisUnited Kingdom

Identifiers

PMID31882826
PMCPMC6934676
OpenAlexW2998068835

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.