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Bacteriology

Prospective Study of the Performance of Vibrational Spectroscopies for Rapid Identification of Bacterial and Fungal Pathogens Recovered from Blood Cultures

K. Maquelin, C. Kirschner, L.-P. Choo-Smith, N. A. Ngo-Thi, T. van Vreeswijk, M. Stämmler, H. P. Endtz, H. A. Bruining, D. Naumann, G. J. Puppels
K. Maquelin
1Department of General Surgery 10M, Laboratory for Intensive Care Research and Optical Spectroscopy
2Department of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
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C. Kirschner
3Biophysical Structure Analyses, Robert Koch Institute, D-13353 Berlin, Germany
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L.-P. Choo-Smith
1Department of General Surgery 10M, Laboratory for Intensive Care Research and Optical Spectroscopy
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N. A. Ngo-Thi
3Biophysical Structure Analyses, Robert Koch Institute, D-13353 Berlin, Germany
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T. van Vreeswijk
1Department of General Surgery 10M, Laboratory for Intensive Care Research and Optical Spectroscopy
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M. Stämmler
3Biophysical Structure Analyses, Robert Koch Institute, D-13353 Berlin, Germany
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H. P. Endtz
2Department of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
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H. A. Bruining
1Department of General Surgery 10M, Laboratory for Intensive Care Research and Optical Spectroscopy
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D. Naumann
3Biophysical Structure Analyses, Robert Koch Institute, D-13353 Berlin, Germany
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G. J. Puppels
1Department of General Surgery 10M, Laboratory for Intensive Care Research and Optical Spectroscopy
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  • For correspondence: puppels@hlkd.azr.nl
DOI: 10.1128/JCM.41.1.324-329.2003
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  • FIG. 1.
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    FIG. 1.

    Typical Raman (a) and FT-IR (b) spectra of four microorganisms included in the reference database used for the identification of pathogens isolated from blood. The spectra have been displaced vertically on the intensity axis. Some marked spectral differences between the species have been highlighted. a.u., arbitrary units.

  • FIG. 2.
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    FIG. 2.

    Sequential identification schemes used for the identification of bacteria. (a) Sequential LDA model used for identification of microorganisms on the basis of their Raman spectra. (b) Schematic diagram of the hierarchical network used to identify bacteria on the basis of their IR spectra. See the text for details.

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  • TABLE 1.

    Results of leave-one-out evaluation of the Raman and infrared prediction models on the basis of strains in the reference databases

    Organism(s)Raman spectroscopyIR spectroscopy
    No. (%) identified correctlyMisidentification (no. of strains)No. (%) identified correctlyMisidentification (no. of strains)
    S. aureus 9 (100)13 (100)
    CNSa25 (96.2) S. aureus (1)17 (94.4) S. aureus (1)
    E. coli 16 (97.3) E. cloacae (1)12 (100)
    E. cloacae 9 (81.8) E. aerogenes (2)6 (100)
    E. aerogenes 7 (77.8) E. cloacae (2)6 (100)
    P. aeruginosa 9 (100)5 (100)
    E. faecalis groupa8 (100)9 (100)
    E. faecium groupa8 (100)9 (100)
    Streptococcus spp.a8 (88.9) E. faecalis (1)9 (82) E. faecalis group (1)
    Candida albicans 6 (85.7) C. kefyr (1)7 (87.5) C. dubliniensis (1)
    Candida dubliniensis 5 (100)
    Candida glabrata 5 (100)5 (100)
    Candida kefyr 7 (100)4 (100)
    Candida krusei 7 (100)4 (100)
    Candida tropicalis 8 (100)5 (83.3) C. albicans (1)
    • ↵ a In the different species groups, the following species were included (number of strains in Raman database/number in IR database): CNS, S. epidermidis (10/6), S. schleiferi (3/2), S. saprophyticus (3/2), S. haemolyticus (3/2), S. capitis (3/2), S. lugdunensis (2/0), S. warneri (2/2), and S. hominis (0/2); Streptococcus spp., S. agalactiae (1/0), S. oralis (2/3), S. salivarus (2/2), S. pneumoniae (1/2), S. pyogenes (3/3), and Streptococcus variant Gr. A (0/1); Enterococcus faecium group, E. faecium (6/5), E. hirae (1/2), and E. durans (1/2); Enterococcus faecalis group (identified as such for IR analysis only), E. faecalis (6), E. casseliflavus (1), and E. gallinarum (2).

  • TABLE 2.

    Comparison of phenotypic and vibrational spectroscopic identifications of patient samples included in the prospective studya

    Organism(s)Raman spectroscopyIR spectroscopy
    No. (%) identified correctlyMisidentification(s) (no. of strains)No. (%) identified correctlyMisidentification (no. of strains)
    S. aureus 19 (100)27 (96.4) S. aureus (1)
    CNS37 (97.4) Streptococcus sp. (1)52 (98.1)CNS (1)
    E. coli 22 (91.7) E. aerogenes (2)12 (100)
    E. cloacae 2 (40) E. aerogenes (3)2 (100)
    E. aerogenes 3 (100)
    P. aeruginosa 5 (100)1 (100)
    E. faecalis group3 (100)6 (100)
    E. faecium group1 (100)5 (100)
    Streptococcus spp.8 (72.7) E. faecalis (2), E. aerogens (1)7 (100)
    Candida albicans 6 (100)5 (100)
    Candida glabrata 1 (100)
    Candida tropicalis 1 (100)
    • ↵ a For Raman spectroscopy, 115 samples were included, and for IR spectroscopy, 121 samples were included.

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Prospective Study of the Performance of Vibrational Spectroscopies for Rapid Identification of Bacterial and Fungal Pathogens Recovered from Blood Cultures
K. Maquelin, C. Kirschner, L.-P. Choo-Smith, N. A. Ngo-Thi, T. van Vreeswijk, M. Stämmler, H. P. Endtz, H. A. Bruining, D. Naumann, G. J. Puppels
Journal of Clinical Microbiology Jan 2003, 41 (1) 324-329; DOI: 10.1128/JCM.41.1.324-329.2003

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Prospective Study of the Performance of Vibrational Spectroscopies for Rapid Identification of Bacterial and Fungal Pathogens Recovered from Blood Cultures
K. Maquelin, C. Kirschner, L.-P. Choo-Smith, N. A. Ngo-Thi, T. van Vreeswijk, M. Stämmler, H. P. Endtz, H. A. Bruining, D. Naumann, G. J. Puppels
Journal of Clinical Microbiology Jan 2003, 41 (1) 324-329; DOI: 10.1128/JCM.41.1.324-329.2003
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    • ABSTRACT
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KEYWORDS

bacteria
blood
fungi
Spectroscopy, Fourier Transform Infrared
Spectrum Analysis, Raman

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