Rapid detection of ceftriaxone-resistant Salmonella by matrix-assisted laser desorption-ionization time-of-flight mass spectrometry combined with the ratio of optical density.
Ann Clin Microbiol Antimicrob
; 23(1): 70, 2024 Aug 07.
Article
in En
| MEDLINE
| ID: mdl-39113073
ABSTRACT
BACKGROUND:
The increased resistance rate of Salmonella to third-generation cephalosporins represented by ceftriaxone (CRO) may result in the failure of the empirical use of third-generation cephalosporins for the treatment of Salmonella infection in children. The present study was conducted to evaluate a novel method for the rapid detection of CRO-resistant Salmonella (CRS).METHODS:
We introduced the concept of the ratio of optical density (ROD) with and without CRO and combined it with matrix-assisted laser desorption-ionization time-of-flight mass spectrometry (MALDI-TOF MS) to establish a new protocol for the rapid detection of CRS.RESULTS:
The optimal incubation time and CRO concentration determined by the model strain test were 2 h and 8 µg/ml, respectively. We then conducted confirmatory tests on 120 clinical strains. According to the receiver operating characteristic curve analysis, the ROD cutoff value for distinguishing CRS and non-CRS strains was 0.818 [area under the curve 1.000; 95% confidence interval 0.970-1.000; sensitivity 100.00%; specificity 100%; P < 10- 3].CONCLUSIONS:
In conclusion, the protocol for the combined ROD and MALDI-TOF MS represents a rapid, accurate, and economical method for the detection of CRS.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Salmonella
/
Salmonella Infections
/
Ceftriaxone
/
Microbial Sensitivity Tests
/
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
/
Anti-Bacterial Agents
Limits:
Humans
Language:
En
Journal:
Ann Clin Microbiol Antimicrob
Journal subject:
MICROBIOLOGIA
/
TERAPIA POR MEDICAMENTOS
Year:
2024
Type:
Article
Affiliation country:
China