Comparison of Raman spectroscopy with mass spectrometry for sequence typing of Acinetobacter baumannii strains: a single-center study

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Abstract
The rapid sequence typing (ST) of bacterial strains is crucial for effective nosocomial infection control and mitigating the spread of nosocomial pathogens, e.g., Acinetobacter baumannii . While accurate in identifying A. baumannii strains, current typing methods are often impractical in clinical settings due to their time-consuming nature. This study developed a novel approach, combining surface-enhanced Raman spectroscopy (SERS) with machine-learning (ML) algorithms, to construct predictive models for A. baumannii sequence typing based on SERS spectra. The objective was to assess the feasibility of this integrated method for efficient sequence typing of A. baumannii strains. Clinically isolated A. baumannii strains ( N = 267) were collected from a single hospital between 2013 and 2023. Based on multilocus sequence typing, 39 STs of A. baumannii were identified. Then, a SERS spectral database for all these strains was constructed, and predictive models based on eight ML algorithms were developed to predict SERS signals to determine their STs, among which the support vector machine (SVM) model had the best performance (fivefold cross-validation = 99.74%). The typing capacity of the SERS-SVM method was compared with that of matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) for A. baumannii sequence typing, confirming the superiority of SERS-SVM over MALDI-TOF mass spectrometer. This pilot study lays the groundwork for employing the SERS-ML method to rapidly identify A. baumannii strain types in clinical laboratories, aiding in controlling bacterial pathogen transmission. Further studies are warranted to evaluate its potential in nosocomial surveillance systems, especially for rapidly identifying outbreaks within hospitals. IMPORTANCE: The rapid and accurate sequence typing (ST) of bacterial pathogens is pivotal in controlling transmission within healthcare settings. Acinetobacter baumannii infection, known for its high transmissibility and drug resistance, presents a major challenge in nosocomial infection control. In this study, surface-enhanced Raman spectroscopy (SERS) was used to differentiate A. baumannii strains with distinct STs based on unique Raman spectral profiles. We then constructed and compared eight machine-learning models on SERS spectra to quickly identify bacterial STs. The results showed that the support vector machine model outperformed matrix-assisted laser desorption/ionization time-of-flight mass spectrometer in determining A. baumannii STs. This approach enables rapid identification of A. baumannii variants with different STs, supporting the early detection and control of nosocomial infections by this multidrug-resistant pathogen.
Funding Information
  • China Postdoctoral Science Foundation (2023M732993)
  • GDSTC | Basic and Applied Basic Research Foundation of Guangdong Province (2022A1515220023)
  • JST | Natural Science Foundation of Jiangsu Province (BK20210803)

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