Pretreatment of Urine Samples with SDS Improves Direct Identification of Urinary Tract Pathogens with Matrix-Assisted Laser Desorption Ionization–Time of Flight Mass Spectrometry

We pretreated with SDS 71 urine samples with bacterial counts of >105 CFU/ml and matrix-assisted laser desorption ionization–time of flight (MALDI-TOF) identification scores of <2, in order to minimize failure rates. Identification improved in 46.5% of samples, remained unchanged in 49.3%, and worsened in 4.2%. The improvement was more evident for Gram-negative (54.3%) than for Gram-positive (32%) bacteria.