Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus

Background: Accurate and rapid detection of methicillin-resistant Staphylococcus aureus is very important in a clinical laboratory setting to avoid treatment failure. Conventional methods were compared against the gold standard polymerase chain reaction (PCR) technique to determine the best combinat...

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Main Authors: Riza Adaleti, Yasar Nakipoglu, Zeynep Ceren Karahan, Cihan Tasdemir, Fatma Kaya
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2008-02-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/321
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author Riza Adaleti
Yasar Nakipoglu
Zeynep Ceren Karahan
Cihan Tasdemir
Fatma Kaya
author_facet Riza Adaleti
Yasar Nakipoglu
Zeynep Ceren Karahan
Cihan Tasdemir
Fatma Kaya
author_sort Riza Adaleti
collection DOAJ
description Background: Accurate and rapid detection of methicillin-resistant Staphylococcus aureus is very important in a clinical laboratory setting to avoid treatment failure. Conventional methods were compared against the gold standard polymerase chain reaction (PCR) technique to determine the best combination of the routine procedures. Methodology: Methicillin resistance was investigated in 416 clinical Staphylococcus aureus isolates by PCR, oxacillin agar screening (OAS), oxacillin disk diffusion (ODD) and cefoxitin disk diffusion (CDD) methods. Results: Two hundred and ten (51%) out of 416 S. aureus strains were found to be mecA-positive by PCR. Sensitivity and specificity of the ODD, CDD and OAS methods were detected as follows: 100% and 89%, 99.50% and 100%, and 99.50% and 100%, respectively. Conclusion: Combining the ODD and CDD methods could be a good choice for detecting methicillin resistance in S. aureus strains where mecA PCR cannot be performed.
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id doaj-art-57bae272f7c54e618ca2fd00625ee733
institution Kabale University
issn 1972-2680
language English
publishDate 2008-02-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-57bae272f7c54e618ca2fd00625ee7332025-08-20T03:48:58ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802008-02-0120110.3855/jidc.321Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureusRiza Adaleti0Yasar Nakipoglu1Zeynep Ceren Karahan2Cihan Tasdemir3Fatma Kaya4Clinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, IstanbulDepartment of Microbiology and Clinical Microbiology, Faculty of Medicine, University of Istanbul, IstanbulDepartment of Microbiology and Clinical Microbiology, Faculty of Medicine, Ankara University, AnkaraClinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, IstanbulClinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, IstanbulBackground: Accurate and rapid detection of methicillin-resistant Staphylococcus aureus is very important in a clinical laboratory setting to avoid treatment failure. Conventional methods were compared against the gold standard polymerase chain reaction (PCR) technique to determine the best combination of the routine procedures. Methodology: Methicillin resistance was investigated in 416 clinical Staphylococcus aureus isolates by PCR, oxacillin agar screening (OAS), oxacillin disk diffusion (ODD) and cefoxitin disk diffusion (CDD) methods. Results: Two hundred and ten (51%) out of 416 S. aureus strains were found to be mecA-positive by PCR. Sensitivity and specificity of the ODD, CDD and OAS methods were detected as follows: 100% and 89%, 99.50% and 100%, and 99.50% and 100%, respectively. Conclusion: Combining the ODD and CDD methods could be a good choice for detecting methicillin resistance in S. aureus strains where mecA PCR cannot be performed.https://jidc.org/index.php/journal/article/view/321Methicillin-resistant Staphylococcus aureus (MRSA)polymerase chain reaction (PCR)oxacillin disk diffusioncefoxitin disk diffusionoxacillin agar screening
spellingShingle Riza Adaleti
Yasar Nakipoglu
Zeynep Ceren Karahan
Cihan Tasdemir
Fatma Kaya
Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus
Journal of Infection in Developing Countries
Methicillin-resistant Staphylococcus aureus (MRSA)
polymerase chain reaction (PCR)
oxacillin disk diffusion
cefoxitin disk diffusion
oxacillin agar screening
title Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus
title_full Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus
title_fullStr Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus
title_full_unstemmed Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus
title_short Comparison of polymerase chain reaction and conventional methods in detecting methicillin-resistant Staphylococcus aureus
title_sort comparison of polymerase chain reaction and conventional methods in detecting methicillin resistant staphylococcus aureus
topic Methicillin-resistant Staphylococcus aureus (MRSA)
polymerase chain reaction (PCR)
oxacillin disk diffusion
cefoxitin disk diffusion
oxacillin agar screening
url https://jidc.org/index.php/journal/article/view/321
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AT zeynepcerenkarahan comparisonofpolymerasechainreactionandconventionalmethodsindetectingmethicillinresistantstaphylococcusaureus
AT cihantasdemir comparisonofpolymerasechainreactionandconventionalmethodsindetectingmethicillinresistantstaphylococcusaureus
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