Evaluation of molecular assays for rapid detection of methicillin-resistant Staphylococcus aureus

J Clin Microbiol. 2010 Dec;48(12):4598-601. doi: 10.1128/JCM.00004-10. Epub 2010 Oct 13.

Abstract

The diagnostic sensitivities of the BD GeneOhm and Cepheid Xpert assays were compared using culture on log-serial dilutions of well-characterized methicillin-resistant Staphylococcus aureus (MRSA) and non-MRSA strains and on nasal and groin swabs from patients with histories of MRSA carriage. The sensitivities of GeneOhm and Xpert were high at 10(3)-CFU/ml MRSA concentrations (92.3% and 96.3%, respectively) although decreased considerably (<35%) at a 1-log-lower concentration. Unexpectedly, both assays also detected select coagulase-negative staphylococci, which requires further evaluation.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacteriological Techniques / methods*
  • Carrier State / diagnosis*
  • Carrier State / microbiology
  • Coagulase / genetics
  • Groin / microbiology
  • Humans
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification*
  • Molecular Diagnostic Techniques / methods*
  • Nasal Mucosa / microbiology
  • Sensitivity and Specificity
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / microbiology

Substances

  • Coagulase