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Subdivision of MRSA CC398 isolates using MALDI-TOF MS
Claus Østergaard1, Jens Kjølseth Møller2
1Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark.
Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) effectively subtypes Methicillin-resistant Staphylococcus aureus (MRSA) CC398. This rapid, cost-effective method offers enhanced discrimination for outbreak investigations.
Area of Science:
- Microbiology
- Infectious Diseases
- Mass Spectrometry
Background:
- Rapid and discriminative typing methods are crucial for outbreak investigations.
- Methicillin-resistant Staphylococcus aureus (MRSA) CC398 is a significant livestock-associated pathogen.
- Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is a known rapid, easy, and inexpensive subtyping method.
Purpose of the Study:
- To evaluate an enhanced MALDI-TOF MS method for subdividing MRSA CC398 isolates.
- To assess the method's discriminative power compared to existing techniques.
Main Methods:
- Analysis of MALDI-TOF MS spectra from 378 MRSA CC398 isolates.
- Identification of 17 discriminatorily useful peaks for subtype classification.
- Whole genome sequencing of 193 isolates for comparison with spa typing and antibiograms.
Main Results:
- The enhanced MALDI-TOF MS method reliably subdivided isolates into 23 distinct subtypes.
- One identified subtype corresponded to an unusual hospital outbreak strain.
- The MALDI-TOF MS method demonstrated higher discrimination than spa typing and resistotyping.
Conclusions:
- The enhanced MALDI-TOF MS typing method is suitable for rapid and inexpensive routine subdivision of MRSA CC398.
- This method offers a valuable tool for epidemiological surveillance and outbreak management of MRSA CC398.
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