Skip to main content
Top
Published in: European Journal of Clinical Microbiology & Infectious Diseases 6/2005

01-06-2005 | Concise Article

Rapid detection of methicillin-resistant Staphylococcus aureus from screening enrichment broths by real-time PCR

Authors: K. Levi, K. J. Towner

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 6/2005

Login to get access

Abstract

The aim of this study was to evaluate real-time PCR (LightCycler) kits for the detection of methicillin-resistant Staphylococcus aureus in enrichment broth using 200 sets of patient screening swab samples. One hundred sets were processed using a lysostaphin/lysozyme extraction method and a further 100 were tested using a column extraction kit. The PCR kits with lysostaphin/lysozyme lysis showed 95.7% sensitivity, 90.8% specificity, and negative and positive predictive values of 98.6% and 75.9%, respectively, compared with 88%, 95.9%, 84.6% and 95.9%, respectively, with the column extraction kit.
Literature
1.
go back to reference Diekema DJ, Pfaller MA, Schmitz FJ, Smayevsky J, Bell J, Jones RN, Beach M and the SENTRY participants group (2001) Survey of infections due to Staphylococcus species: frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, Latin America, Europe, and the Western Pacific Region for the SENTRY Antimicrobial Surveillance Program 1997–1999. Clin Infect Dis 32 (Suppl 2):114–132 Diekema DJ, Pfaller MA, Schmitz FJ, Smayevsky J, Bell J, Jones RN, Beach M and the SENTRY participants group (2001) Survey of infections due to Staphylococcus species: frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, Latin America, Europe, and the Western Pacific Region for the SENTRY Antimicrobial Surveillance Program 1997–1999. Clin Infect Dis 32 (Suppl 2):114–132
2.
go back to reference Brown DFJ (2001) Detection of methicillin/oxacillin resistance in staphylococci. J Antimicrobial Chemother 48 (Suppl 1):65–70 Brown DFJ (2001) Detection of methicillin/oxacillin resistance in staphylococci. J Antimicrobial Chemother 48 (Suppl 1):65–70
3.
go back to reference Cookson B (1997) Is it time to stop searching for MRSA? Screening is still important. Br Med J 314:664–665 Cookson B (1997) Is it time to stop searching for MRSA? Screening is still important. Br Med J 314:664–665
4.
go back to reference Grisold AJ, Leitner E, Muhlbauer G, Marth E, Kessler HH (2002) Detection of methicillin-resistant Staphylococcus aureus and simultaneous confirmation by automated nucleic acid extraction and real-time PCR. J Clin Microbiol 40:2392–2397 Grisold AJ, Leitner E, Muhlbauer G, Marth E, Kessler HH (2002) Detection of methicillin-resistant Staphylococcus aureus and simultaneous confirmation by automated nucleic acid extraction and real-time PCR. J Clin Microbiol 40:2392–2397
5.
go back to reference Rohrer S, Tschierske M, Zbinden R, Berger-Bachi B (2001) Improved methods for detection of methicillin-resistant Staphylococcus aureus. Eur J Clin Microbiol Infect Dis 20:267–270 Rohrer S, Tschierske M, Zbinden R, Berger-Bachi B (2001) Improved methods for detection of methicillin-resistant Staphylococcus aureus. Eur J Clin Microbiol Infect Dis 20:267–270
6.
go back to reference Shrestha NK, Shermock KM, Gordon SM, Tuohy MJ, Wilson DA, Cwynar RE, Banbury MK, Longworth DL, Isada CM, Mawhorter SD, Procop GW (2003) Predictive value and cost-effectiveness analysis of a rapid polymerase chain reaction for preoperative detection of nasal carriage of Staphylococcus aureus. Infect Control Hosp Epidemiol 25:327–333 Shrestha NK, Shermock KM, Gordon SM, Tuohy MJ, Wilson DA, Cwynar RE, Banbury MK, Longworth DL, Isada CM, Mawhorter SD, Procop GW (2003) Predictive value and cost-effectiveness analysis of a rapid polymerase chain reaction for preoperative detection of nasal carriage of Staphylococcus aureus. Infect Control Hosp Epidemiol 25:327–333
7.
go back to reference Fang H, Hedin G (2003) Rapid screening and identification of methicillin-resistant Staphylococcus aureus from clinical samples by selective-broth and real-time PCR assay. J Clin Microbiol 41:2894–2899 Fang H, Hedin G (2003) Rapid screening and identification of methicillin-resistant Staphylococcus aureus from clinical samples by selective-broth and real-time PCR assay. J Clin Microbiol 41:2894–2899
8.
go back to reference Jonas D, Speck M, Daschner FD, Grundmann H (2002) Rapid PCR-based identification of methicillin-resistant Staphylococcus aureus from screening swabs. J Clin Microbiol 40:1821–1823 Jonas D, Speck M, Daschner FD, Grundmann H (2002) Rapid PCR-based identification of methicillin-resistant Staphylococcus aureus from screening swabs. J Clin Microbiol 40:1821–1823
9.
go back to reference Towner KJ, Talbot DCS, Curran R, Webster CA, Humphreys H (1998) Development and evaluation of a PCR-based immunoassay for the rapid detection of methicillin-resistant Staphylococcus aureus. J Med Microbiol 47:607–613PubMed Towner KJ, Talbot DCS, Curran R, Webster CA, Humphreys H (1998) Development and evaluation of a PCR-based immunoassay for the rapid detection of methicillin-resistant Staphylococcus aureus. J Med Microbiol 47:607–613PubMed
10.
go back to reference Francois P, Pittet D, Bento M, Pepey B, Vaudaux P, Lew D, Schrenzel J (2003) Rapid detection of methicillin-resistant Staphylococcus aureus directly from sterile or nonsterile clinical samples by a new molecular assay. J Clin Microbiol 41:254–260 Francois P, Pittet D, Bento M, Pepey B, Vaudaux P, Lew D, Schrenzel J (2003) Rapid detection of methicillin-resistant Staphylococcus aureus directly from sterile or nonsterile clinical samples by a new molecular assay. J Clin Microbiol 41:254–260
11.
go back to reference Huletsky A, Giroux R, Rossbach V, Gagnon M, Vaillancourt M, Bernier M, Gagnon F, Truchon K, Bastien M, Picard FJ, van Belkum A, Ouellette M, Roy PH, Bergeron MG (2004) New real-time PCR assay for rapid detection of methicillin-resistant Staphylococcus aureus directly from specimens containing a mixture of staphylococci. J Clin Microbiol 42:1875–1884 Huletsky A, Giroux R, Rossbach V, Gagnon M, Vaillancourt M, Bernier M, Gagnon F, Truchon K, Bastien M, Picard FJ, van Belkum A, Ouellette M, Roy PH, Bergeron MG (2004) New real-time PCR assay for rapid detection of methicillin-resistant Staphylococcus aureus directly from specimens containing a mixture of staphylococci. J Clin Microbiol 42:1875–1884
12.
go back to reference Levi K, Bailey C, Bennett A, Marsh P, Cardy DLN, Towner KJ (2003) Evaluation of an isothermal signal amplification method for rapid detection of methicillin-resistant Staphylococcus aureus from patient-screening swabs. J Clin Microbiol 41:3187–3191 Levi K, Bailey C, Bennett A, Marsh P, Cardy DLN, Towner KJ (2003) Evaluation of an isothermal signal amplification method for rapid detection of methicillin-resistant Staphylococcus aureus from patient-screening swabs. J Clin Microbiol 41:3187–3191
13.
go back to reference El-Zimaity D, Dawson SJ, Barrett S, Moseley E (2004) Preoperative screening of elective orthopaedic patients for MRSA. J Hosp Infect 56:164–167CrossRefPubMed El-Zimaity D, Dawson SJ, Barrett S, Moseley E (2004) Preoperative screening of elective orthopaedic patients for MRSA. J Hosp Infect 56:164–167CrossRefPubMed
14.
go back to reference Farr BM, Jarvis WR (2002) Would active surveillance cultures help control healthcare-related methicillin-resistant Staphylococcus aureus infections? Infect Control Hosp Epidemiol 23:65–68PubMed Farr BM, Jarvis WR (2002) Would active surveillance cultures help control healthcare-related methicillin-resistant Staphylococcus aureus infections? Infect Control Hosp Epidemiol 23:65–68PubMed
15.
go back to reference Karchmer TB, Durbin LJ, Simonton BM, Farr BM (2002) Cost-effectiveness of active surveillance cultures and contact/droplet precautions for control of methicillin-resistant Staphylococcus aureus. J Hosp Infect 51:126–132CrossRefPubMed Karchmer TB, Durbin LJ, Simonton BM, Farr BM (2002) Cost-effectiveness of active surveillance cultures and contact/droplet precautions for control of methicillin-resistant Staphylococcus aureus. J Hosp Infect 51:126–132CrossRefPubMed
Metadata
Title
Rapid detection of methicillin-resistant Staphylococcus aureus from screening enrichment broths by real-time PCR
Authors
K. Levi
K. J. Towner
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 6/2005
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-005-1336-4

Other articles of this Issue 6/2005

European Journal of Clinical Microbiology & Infectious Diseases 6/2005 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.