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MALDI-TOF MS versus VITEK 2 ANC card for identification of anaerobic bacteria

  
@article{JTD2349,
	author = {Yang Li and Bing Gu and Genyan Liu and Wenying Xia and Kun Fan and Yaning Mei and Peijun Huang and Shiyang Pan},
	title = {MALDI-TOF MS versus VITEK 2 ANC card for identification of anaerobic bacteria},
	journal = {Journal of Thoracic Disease},
	volume = {6},
	number = {5},
	year = {2014},
	keywords = {},
	abstract = {Background: Matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) is an accurate, rapid and inexpensive technique that has initiated a revolution in the clinical microbiology laboratory for identification of pathogens. The Vitek 2 anaerobe and Corynebacterium (ANC) identification card is a newly developed method for identification of corynebacteria and anaerobic species. The aim of this study was to evaluate the effectiveness of the ANC card and MALDI-TOF MS techniques for identification of clinical anaerobic isolates. 
Methods: Five reference strains and a total of 50 anaerobic bacteria clinical isolates comprising ten different genera and 14 species were identified and analyzed by the ANC card together with Vitek 2 identification system and Vitek MS together with version 2.0 database respectively. 16S rRNA gene sequencing was used as reference method for accuracy in the identification. 
Results: Vitek 2 ANC card and Vitek MS provided comparable results at species level for the five reference strains. Of 50 clinical strains, the Vitek MS provided identification for 46 strains (92%) to the species level, 47 (94%) to genus level, one (2%) low discrimination, two (4%) no identification and one (2%) misidentification. The Vitek 2 ANC card provided identification for 43 strains (86%) correct to the species level, 47 (94%) correct to the genus level, three (6%) low discrimination, three (6%) no identification and one (2%) misidentification. 
Conclusions: Both Vitek MS and Vitek 2 ANC card can be used for accurate routine clinical anaerobe identification. Comparing to the Vitek 2 ANC card, Vitek MS is easier, faster and more economic for each test. The databases currently available for both systems should be updated and further developed to enhance performance.},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/2349}
}