Comparison of the BD GeneOhm methicillin-resistant Staphylococcus aureus (MRSA) PCR assay to culture by use of BBL CHROMagar MRSA for detection of MRSA in nasal surveillance cultures from intensive care unit patients
- PMID: 20181916
- PMCID: PMC2849557
- DOI: 10.1128/JCM.01326-09
Comparison of the BD GeneOhm methicillin-resistant Staphylococcus aureus (MRSA) PCR assay to culture by use of BBL CHROMagar MRSA for detection of MRSA in nasal surveillance cultures from intensive care unit patients
Abstract
This study compared the BD GeneOhm methicillin-resistant Staphylococcus aureus (MRSA) real-time PCR assay to culture by the use of BBL CHROMagar MRSA for the detection of MRSA in 627 nasal surveillance specimens collected from intensive care unit (ICU) patients. The PCR assay had a sensitivity, specificity, positive predictive value, and negative predictive value of 100%, 96.7%, 70.3%, and 100%, respectively. Nine of 19 false-positive PCR specimens grew methicillin-susceptible S. aureus (MSSA) from broth enrichment culture, of which two demonstrated evidence of mecA gene dropout. Compared to culture by the use of BBL CHROMagar MRSA, the BD GeneOhm MRSA PCR assay demonstrated sensitivity and specificity above 95% for the detection of MRSA nasal colonization and provided shorter turnaround time in generating positive and negative final results.
Figures
Similar articles
-
Comparison of the BD GeneOhm methicillin-resistant Staphylococcus aureus (MRSA) PCR assay to culture by use of BBL CHROMagar MRSA for detection of MRSA in nasal surveillance cultures from an at-risk community population.J Clin Microbiol. 2008 Feb;46(2):743-6. doi: 10.1128/JCM.02071-07. Epub 2007 Dec 5. J Clin Microbiol. 2008. PMID: 18057129 Free PMC article.
-
Comparison of BD GeneOhm methicillin-resistant Staphylococcus aureus (MRSA) PCR versus the CHROMagar MRSA assay for screening patients for the presence of MRSA strains.J Clin Microbiol. 2008 Jan;46(1):350-1. doi: 10.1128/JCM.02130-07. Epub 2007 Nov 21. J Clin Microbiol. 2008. PMID: 18032616 Free PMC article.
-
Multicenter evaluation of the LightCycler methicillin-resistant Staphylococcus aureus (MRSA) advanced test as a rapid method for detection of MRSA in nasal surveillance swabs.J Clin Microbiol. 2010 May;48(5):1661-6. doi: 10.1128/JCM.00003-10. Epub 2010 Mar 24. J Clin Microbiol. 2010. PMID: 20335423 Free PMC article.
-
Methods for screening for methicillin-resistant Staphylococcus aureus carriage.Clin Microbiol Infect. 2009 Dec;15 Suppl 7:10-6. doi: 10.1111/j.1469-0691.2009.03092.x. Clin Microbiol Infect. 2009. PMID: 19951329 Review.
-
Rapid detection of methicillin-resistant Staphylococcus aureus directly from clinical samples: methods, effectiveness and cost considerations.Ger Med Sci. 2009 Jul 6;7:Doc06. doi: 10.3205/000065. Ger Med Sci. 2009. PMID: 19675746 Free PMC article. Review.
Cited by
-
Rapid confirmation of suspected methicillin-resistant Staphylococcus aureus colonies on chromogenic agars by a new commercial PCR assay, the GenomEra MRSA/SA Diagnose.Eur J Clin Microbiol Infect Dis. 2012 Aug;31(8):1961-8. doi: 10.1007/s10096-011-1527-0. Epub 2012 Jan 26. Eur J Clin Microbiol Infect Dis. 2012. PMID: 22278292
-
Genotypic and phenotypic characterization of methicillin-susceptible Staphylococcus aureus isolates misidentified as methicillin-resistant Staphylococcus aureus by the BD GeneOhm MRSA assay.J Clin Microbiol. 2011 Apr;49(4):1240-4. doi: 10.1128/JCM.02220-10. Epub 2011 Feb 9. J Clin Microbiol. 2011. PMID: 21307210 Free PMC article.
-
Three-way comparison of BBL CHROMagar MRSA II, MRSASelect, and spectra MRSA for detection of methicillin-resistant Staphylococcus aureus isolates in nasal surveillance cultures.J Clin Microbiol. 2013 Jan;51(1):202-5. doi: 10.1128/JCM.02022-12. Epub 2012 Nov 7. J Clin Microbiol. 2013. PMID: 23135930 Free PMC article.
-
Detection of methicillin-resistant Staphylococcus aureus (MRSA) from nasal samples by multiplex real-time PCR based on dual priming AT-rich primers.Folia Microbiol (Praha). 2012 Jan;57(1):37-45. doi: 10.1007/s12223-011-0085-2. Epub 2011 Dec 22. Folia Microbiol (Praha). 2012. PMID: 22187362
-
Evaluation of BD Max StaphSR and BD Max MRSAXT Assays Using ESwab-Collected Specimens.J Clin Microbiol. 2015 Aug;53(8):2525-9. doi: 10.1128/JCM.00970-15. Epub 2015 May 27. J Clin Microbiol. 2015. PMID: 26019193 Free PMC article.
References
-
- Abramson, M. A., and D. J. Sexton. 1999. Nosocomial methicillin-resistant and methicillin-susceptible Staphylococcus aureus primary bacteremia: at what costs? Infect. Control Hosp. Epidemiol. 20:408-411. - PubMed
-
- Bishop, E. J., E. A. Grabsch, S. A. Ballard, B. Mayall, S. Xie, R. Martin, and M. L. Grayson. 2006. Concurrent analysis of nose and groin swab specimens by the IDI-MRSA PCR assay is comparable to analysis by individual-specimen PCR and routine culture assays for detection of colonization by methicillin-resistant Staphylococcus aureus. J. Clin. Microbiol. 44:2904-2908. - PMC - PubMed
-
- Blot, S. I., K. H. Vandewoude, E. A. Hoste, and F. A. Colardyn. 2002. Outcome and attributable mortality in critically ill patients with bacteremia involving methicillin-susceptible and methicillin-resistatn Staphylococcus aureus. Arch. Intern. Med. 162:2229-2235. - PubMed
-
- CLSI. 2008. Performance standards for antimicrobial susceptibility testing; 18th informational supplement, 8th ed. M7-A7. Clinical and Laboratory Standards Institute, Wayne, PA.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical