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Abstract Book of EAVLD2012 - eavld congress 2012

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S4 - O - 05<br />

RAPID IDENTIFICATION OF BOVINE MASTITIS PATHOGENS USING MALDI TOF<br />

Gudrun Overesch 1 , Andreas Thomann 1 , Vincent Perreten 1<br />

1<br />

Institute <strong>of</strong> Veterinary Bacteriology, University <strong>of</strong> Bern, Bern, Switzerland<br />

Maldi T<strong>of</strong>, mastitis, identification, veterinary pathogens<br />

Introduction<br />

Correct and rapid identification <strong>of</strong> pathogens is the main objective<br />

<strong>of</strong> bacteriological diagnostic. Phenotypical identification<br />

procedures using biochemical parameters have been widely used<br />

in the last decades. Although automatic systems were developed,<br />

these methods are still time consuming. Therefore molecular<br />

identification methods, i. e. real time PCR, were established to<br />

replace biochemical approach when applicable. The exclusive<br />

use <strong>of</strong> molecular based diagnostic does not allow performing<br />

antibiotic susceptibility tests. The recently established matrixassisted<br />

laser desorption/ionization time-<strong>of</strong>-flight mass<br />

spectroscopy (MALDI TOF MS) approach overcomes the<br />

disadvantages <strong>of</strong> the methods mentioned above. It is faster than<br />

PCR and, while working with cultured strains, it is possible to<br />

perform antimicrobial susceptibility testing. The databases <strong>of</strong><br />

MALDI TOF MS are usually based on spectra generated from<br />

human isolates [1]. Its use in veterinary bacteriology needs<br />

validation with livestock derived strains and update <strong>of</strong> the<br />

databases with spectra from relevant pathogens <strong>of</strong> veterinary<br />

interest. This study presents the establishment <strong>of</strong> MALDI TOF<br />

MS technology for the direct identification to the species level <strong>of</strong><br />

relevant bovine mastitis pathogens.<br />

Materials & methods<br />

156 bovine mastitis milk samples from individual cows were<br />

included. Ten microliter <strong>of</strong> whole milk was cultured on trypticase<br />

soy agar plates with 5% sheep blood (Becton Dickinson) at 37 °C<br />

for 24 hours under aerobic conditions. Colonies were identified<br />

phenotypically by routine diagnostic procedures [2] [3]. In parallel,<br />

the same colonies were identified by MALDI TOF MS (Biotyper<br />

3.0, Bruker) using the direct transfer protocol recommended by<br />

the manufacturer. Brieflly, material from a single colony was<br />

taken with a toothpick, smeared on a steel plate in dublicates and<br />

overlaid with 1 μl <strong>of</strong> HCCA matrix solution. After air drying, the<br />

samples were measured using standard settings in the “Flex<br />

control” s<strong>of</strong>tware. For calibration and as an internal reference the<br />

“bacterial test standard” (BTS, Bruker) was applied in triplicate on<br />

every plate measured. Analysis <strong>of</strong> spectra with the Biotyper 3.0<br />

included a comparison against the internal commercial database<br />

in combination with the institute database. The latter was<br />

generated using veterinary field strains, which include coagulasenegative<br />

staphylococci (Table 1), S. pseudintermedius,<br />

Aerococcus viridans and Streptococcus uberis. All strains were<br />

identified with VITEK 2 (Biomérieux) and 16SrDNA sequence.<br />

New pr<strong>of</strong>iles were introduced into MALDI TOF MS database.<br />

Identification was accepted when a score value > 2.000 was<br />

achieved. All identified strains isolated from mastitis milk included<br />

in this study are listed in Table 1.<br />

Results<br />

After updating the commercial database with veterinary field<br />

strains (i. e. coagulase-negative staphylococci and. S. uberis)<br />

155 out <strong>of</strong> 156 biochemical defined strains were identified from a<br />

24 hour direct plating culture by MALDI TOF MS analyses (Table<br />

1). These strains include all highly relevant mastitis pathogens,<br />

i. e. staphylococci and streptococci species. MALDI TOF MS<br />

identified all alpha- double- and non-hemolytic Staphylococcus<br />

aureus. Trueperella (Arcanobacterium) pyogenes, Histophilus<br />

somni, E. coli and Klebsiella oxytoca were also clearly identified.<br />

Members <strong>of</strong> the Streptococcus-, Lactococcus-, Enterococcusgroup,<br />

which cannot be easily characterized using classical<br />

methods could also be identified to the species level using<br />

MALDI TOF MS. Only Corynebacterium bovis could not be<br />

directly identified by MALDI TOF MS, since this species has not<br />

yet been introduced in the new database.<br />

Discussion & conclusion<br />

MALDI-TOF MS was shown to represent an excellent method for<br />

rapid species identification <strong>of</strong> relevant bovine mastitis pathogens<br />

by direct analysis <strong>of</strong> overnight cultures. However, the commercial<br />

database needed to be expanded with pr<strong>of</strong>iles <strong>of</strong> important<br />

bovine mastitis pathogens. Further improvement such has<br />

extraction prior identification should also be engaged to increase<br />

the identification spectrum. A more detailed identification <strong>of</strong><br />

bacteria present in mastitis milk will also allow to increase the<br />

knowledge regarding species diversity involved in mastitis.<br />

Table 1: Biochemical identification and Maldi T<strong>of</strong> identification <strong>of</strong><br />

bacterial strains isolated from mastitis milk<br />

Isolates<br />

(N)<br />

Biochemical<br />

identification<br />

Maldi T<strong>of</strong> identification<br />

(number)<br />

39 Streptococcus uberis Streptococcus uberis<br />

39<br />

16<br />

15<br />

14<br />

9<br />

Non haemolytic<br />

staphylococci<br />

Double haemolytic<br />

S. aureus<br />

Streptococcus-,<br />

Lactococcus-,<br />

Enterococcus-group<br />

Alpha haemolytic<br />

staphylococci<br />

Streptococcus<br />

dysgalactiae subsp.<br />

dysgalactiae<br />

8 Enterococcus spp.<br />

5<br />

Trueperella<br />

(Arcanobacterium)<br />

pyogenes<br />

S*. xylosus (19)<br />

S. chromogenes (7)<br />

S. sciuri (4)<br />

S. epidermidis (2)<br />

S. vitulinus (2)<br />

S. equorum (2)<br />

S. warneri (1)<br />

S. devriesei (1)<br />

S. aureus (1)<br />

S. aureus (16)<br />

Lactococcus garvieae (9)<br />

Aerococcus viridans (3)<br />

Lactococcus lactis (1)<br />

Enterococcus devriesei (1)<br />

Streptococcus uberis (1)<br />

S. aureus (6)<br />

S. hemolyticus (5)<br />

S. xylosus (3)<br />

Streptococcus dysgalactiae<br />

subsp. dysgalactiae<br />

Enterococcus faecalis (4)<br />

Aerococcus viridans (2)<br />

Streptococcus equinus (1)<br />

Enterococcus faecium (1)<br />

Trueperella<br />

(Arcanobacterium) pyogenes<br />

4 Escherichia coli Escherichia coli<br />

2<br />

Streptococcus<br />

agalactiae<br />

Streptococcus agalactiae<br />

1 Histophilus somni Histophilus somni<br />

1 Klebsiella oxytoca Klebsiella oxytoca<br />

*S. = Staphylococcus<br />

Acknowledgments<br />

This study was partially financed by grant 1.11.21 <strong>of</strong> the Federal<br />

Veterinary Office (FVO), Switzerland.<br />

References<br />

1. Seng P, Drancourt M, Gouriet F, La Scola B, Fournier PE, Rolain JM, et<br />

al. Ongoing revolution in bacteriology: routine identification <strong>of</strong> bacteria by<br />

matrix-assisted laser desorption ionization time-<strong>of</strong>-flight mass<br />

spectrometry. Clin Infect Dis 2009;49(4):543-551.<br />

2. Guélat-Brechbuehl M, Thomann A, Albini S, Moret-Stalder S, Reist M,<br />

Bodmer M, et al. Cross-sectional study <strong>of</strong> Streptococcus species in<br />

quarter milk samples <strong>of</strong> dairy cows in the canton <strong>of</strong> Bern, Switzerland. Vet<br />

Rec 2010;167(6):211-215.<br />

3. Moret-Stalder S, Fournier C, Miserez R, Albini S, Doherr MG, Reist M,<br />

et al. Prevalence study <strong>of</strong> Staphylococcus aureus in quarter milk samples<br />

<strong>of</strong> dairy cows in the Canton <strong>of</strong> Bern, Switzerland. Prev Vet Med<br />

2009;88(1):72-76.

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