High proportion of wrongly identified methicillin-resistant Staphylococcus aureus carriers by use of a rapid commercial PCR assay due to presence of staphylococcal cassette chromosome element lacking the mecA gene
- PMID: 21159945
- PMCID: PMC3043509
- DOI: 10.1128/JCM.01988-10
High proportion of wrongly identified methicillin-resistant Staphylococcus aureus carriers by use of a rapid commercial PCR assay due to presence of staphylococcal cassette chromosome element lacking the mecA gene
Abstract
During a 9-month period, 217 patients were newly diagnosed as methicillin-resistant Staphylococcus aureus (MRSA) carriers by using a commercial rapid PCR-based test (GeneXpert). However, no MRSA was recovered by culturing the second swab in 61 of these patients. Further analyses showed that 28 (12.9%) of the patients harbored S. aureus isolates with a staphylococcal cassette chromosome element lacking the mecA gene and were thus incorrectly determined to be MRSA carriers.
References
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- Basset P., et al. 2010. Usefulness of double locus sequence typing (DLST) for regional and international epidemiological surveillance of methicillin-resistant Staphylococcus aureus. Clin. Microbiol. Infect. 16:1289–1296 - PubMed
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