Formic acid sandwich method is well-suited for filamentous fungi identification and improves turn around time using Zybio EXS2600 mass spectrometry

Bibliographic Details
Title: Formic acid sandwich method is well-suited for filamentous fungi identification and improves turn around time using Zybio EXS2600 mass spectrometry
Authors: Chongyang Wu, Keping Ao, Yue Zheng, Ying Jin, Ya Liu, Zhixing Chen, Dongdong Li
Source: BMC Microbiology, Vol 24, Iss 1, Pp 1-10 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Microbiology
Subject Terms: MALDI-TOF MS, EXS2600, Filamentous fungi, Formic acid sandwich, Mold extraction kit, Microbiology, QR1-502
More Details: Abstract Objectives Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is extensively employed for the identification of filamentous fungi on MALDI Biotyper (Bruker Daltonics) and Vitek MS (biomerieux), but the performance of fungi identification on new EXS2600 (Zybio) is still unknow. Our study aims to evaluate the new EXS2600 system's (Zybio) ability to rapidly identify filamentous fungi and determine its effect on turnaround time (TAT) in our laboratory. Methods We tested 117 filamentous fungi using two pretreatment methods: the formic acid sandwich (FA-sandwich) and a commercial mold extraction kit (MEK, Zybio). All isolates were confirmed via sequence analysis. Laboratory data were extracted from our laboratory information system over two 9-month periods: pre-EXS (April to December 2022) and post-EXS (April to December 2023), respectively. Results The total correct identification (at the species, genus, or complex/group level) rate of fungi was high, FA-sandwich (95.73%, 112/117), followed by MEK (94.02%, 110/117). Excluding 6 isolates not in the database, species-level identification accuracy was 92.79% (103/111) for FA-sandwich and 91.89% (102/111) for MEK; genus-level accuracy was 97.29% (108/111) and 96.39% (107/111), respectively. Both methods attained a 100% correct identification rate for Aspergillus, Lichtheimia, Rhizopus Mucor and Talaromyces species, and were able to differentiate between Fusarium verticillioides and Fusarium proliferatum within the Fusarium fujikuroi species complex. Notably, high confidence was observed in the species-level identification of uncommon fungi such as Trichothecium roseum and Geotrichum candidum. The TAT for all positive cultures decreased from pre EXS2600 to post (108.379 VS 102.438, P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2180
Relation: https://doaj.org/toc/1471-2180
DOI: 10.1186/s12866-024-03394-2
Access URL: https://doaj.org/article/96d200d2c9d34063a262435729ca74c4
Accession Number: edsdoj.96d200d2c9d34063a262435729ca74c4
Database: Directory of Open Access Journals
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More Details
ISSN:14712180
DOI:10.1186/s12866-024-03394-2
Published in:BMC Microbiology
Language:English