Evidence map›Paper›PMID 34266382›Full record

ArticleBMC microbiology2021

A multi-country study using MALDI-TOF mass spectrometry for rapid identification of Burkholderia pseudomallei.

Wanitda Watthanaworawit, Tamalee Roberts, Jill Hopkins, Ian Gassiep, Robert Norton, Matthew T Robinson, Joy Silisouk, Poda Sar, Sena Sao, Premjit Amornchai and 6 more

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Laboratory diagnosis of melioidosis.PLoS neglected tropical diseases · 2025
    Review
  4. Article
  5. Article
  6. International journal of microbiology · 2025
    Article
  7. Article
  8. Article
  9. Burkholderia pseudomallei and melioidosis.Nature reviews. Microbiology · 2024
    Review
  10. Article
  11. Article
  12. 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

16 authors at 9 institutions in 5 countries.

Wanitda WatthanaworawitShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand. wanitda@tropmedres.ac.
Tamalee RobertsLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Jill HopkinsCambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.
Ian GassiepUniversity of Queensland Centre for Clinical Research, Herston, Queensland, Australia.
Robert NortonPathology, Townsville Hospital, Townsville, Queensland, Australia.
Matthew T RobinsonLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Joy SilisoukLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Poda SarCambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.
Sena SaoCambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.
Premjit AmornchaiMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Direk LimmathurotsakulMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Vanaporn WuthiekanunMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Francois NostenShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
Andrew J H SimpsonLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Paul TurnerCambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.
Clare L LingShoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand.
Mahidol Oxford Tropical Medicine Research Unit · THMahosot Hospital · LAAngkor Hospital for Children · KHCambodia-Oxford Medical Research Unit · KHLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit · LAMahidol University · THShoklo Malaria Research Unit · THTownsville Hospital · AUUniversity of Queensland · AU

Funding

Wellcome TrustWellcome Trust 220211
6 · The paper itself

Abstract

backgroundBurkholderia pseudomallei is the bacterial causative agent of melioidosis, a difficult disease to diagnose clinically with high mortality if not appropriately treated. Definitive diagnosis requires isolation and identification of the organism. With the increased adoption of MALDI-TOF MS for the identification of bacteria, we established a method for rapid identification of B. pseudomallei using the Vitek MS, a system that does not currently have B. pseudomallei in its in-vitro diagnostic database.

resultsA routine direct spotting method was employed to create spectra and SuperSpectra. An initial B. pseudomallei SuperSpectrum was created at Shoklo Malaria Research Unit (SMRU) from 17 reference isolates (46 spectra). When tested, this initial SMRU SuperSpectrum was able to identify 98.2 % (54/55) of Asian isolates, but just 46.7 % (35/75) of Australian isolates. Using spectra (430) from different reference and clinical isolates, two additional SMRU SuperSpectra were created. Using the combination of all SMRU SuperSpectra with seven existing SuperSpectra from Townsville, Australia 119 (100 %) Asian isolates and 31 (100 %) Australian isolates were correctly identified. In addition, no misidentifications were obtained when using these 11 SuperSpectra when tested with 34 isolates of other bacteria including the closely related species Burkholderia thailandensis and Burkholderia cepacia.

conclusionsThis study has established a method for identification of B. pseudomallei using Vitek MS, and highlights the impact of geographical differences between strains for identification using this technique.

Indexed as

Spectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationBacteriological TechniquesBurkholderia pseudomalleiMelioidosisReproducibility of ResultsSpecies SpecificityBurkholderia pseudomalleiBurkholderia thailandensisMALDI-TOFMass spectrometryMelioidosisRapid identificationSuperspectraVitek MS

Identifiers

PMID34266382
PMCPMC8283998
OpenAlexW3178985328

What OpenQuestion holds

Textmetadata
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.