Phenotypic and Genotypic detection of local MRSA isolates

Methicillin-Resistant Staphylococcus aureus (MRSA) infections have become a global health problem particularly in developing countries. MRSA strains are characterized by rapid resistance against different groups of antibiotics.The current study was aimed to identify MRSA isolates phenotypically by disk diffusion method and genoytypically by PCR. A total of 200 clinical specimens were collected from Zagazig University Hospitals and ElAhrar Educational Hospital in Zagazig, Egypt, and identified biochemically. Out of these specimens, 117 isolates were identified as MRSA by disk diffusion method (DDM); only 114 of these isolates were identified as MRSA by PCR amplification of mecA gene. The study revealed that PCR was more accurate and rapid than other conventional methods and it is considered the gold standard method for MRSA detection to avoid false positive identification of MRSA.

[1]  S. Sreevatsan,et al.  Prevalence and Characterization of Staphylococcus aureus in Growing Pigs in the USA , 2015, PloS one.

[2]  A. Ardebili,et al.  PCR-based identification of methicillin-resistant Staphylococcus aureus strains and their antibiotic resistance profiles. , 2014, Asian Pacific journal of tropical biomedicine.

[3]  A. M. Hasaneen,et al.  Prevalence of methicillin resistant Staphylococcus aureus among Egyptian patients after surgical interventions. , 2014, Surgical infections.

[4]  A. Khare,et al.  Prevalence of methicillin resistant staphylococcus aureus-A study in a tertiary care rural hospital , 2014 .

[5]  H. Abbasi,et al.  Comparison of Different Phenotypic and Genotypic Methods for the Detection of Methicillin-Resistant Staphylococcus Aureus , 2013, North American journal of medical sciences.

[6]  P. Gallagher,et al.  Methicillin-resistant Staphylococcus aureus in the neonatal intensive care unit. , 2012, Seminars in perinatology.

[7]  M. Landrum,et al.  Epidemiology of Staphylococcus aureus blood and skin and soft tissue infections in the US military health system, 2005-2010. , 2012, JAMA.

[8]  M. M. Pillai,et al.  Detection of Methicillin Resistance in Staphylococcus Aureus by Polymerase Chain Reaction and Conventional Methods: A Comparative Study , 2012, Journal of laboratory physicians.

[9]  E. Daef,et al.  Decolonization of Methicillin Resistant Staphylococcus areus Nasal Carriage Among Health Care Workers , 2012 .

[10]  N. Singla,et al.  Evaluation of various methods for the detection of meticillin-resistant Staphylococcus aureus strains and susceptibility patterns. , 2011, Journal of medical microbiology.

[11]  E. Marlowe,et al.  Conventional and Molecular Methods for the Detection of Methicillin-Resistant Staphylococcus aureus , 2011, Journal of Clinical Microbiology.

[12]  J. Lindsay Genomics of Staphylococcus , 2011 .

[13]  Sohad M. Dorgham,et al.  Methicillin Resistant Staphylococcus aureus - Post surgical Infections in Egyptian Hospital , 2011 .

[14]  K. Kapila,et al.  Comparison of cefoxitin disc diffusion test, oxacillin screen agar, and PCR for mecA gene for detection of MRSA. , 2009, Indian journal of medical microbiology.

[15]  M. Lalitha,et al.  Comparison of phenotypic versus genotypic methods in the detection of methicillin resistance in Staphylococcus aureus. , 2008, The Indian journal of medical research.

[16]  M. Baddour,et al.  Comparison of mecA Polymerase Chain Reaction With Phenotypic Methods for the Detection of Methicillin-Resistant Staphylococcus aureus , 2007, Current Microbiology.

[17]  J. Kuint,et al.  Methicillin-resistant Staphylococcus aureus in Neonatal Intensive Care Unit , 2005, Emerging infectious diseases.

[18]  I. Fong,et al.  MRSA in the 21st Century: Emerging Challenges , 2004 .

[19]  P. Taylor,et al.  Methicillin Resistance in Staphylococcus Aureus: Mechanisms and Modulation , 2002, Science progress.

[20]  M. Ferraro Performance standards for antimicrobial susceptibility testing , 2001 .

[21]  Teruyo Ito,et al.  A New Class of Genetic Element, Staphylococcus Cassette Chromosome mec, Encodes Methicillin Resistance in Staphylococcus aureus , 2000, Antimicrobial Agents and Chemotherapy.

[22]  Michel G. Bergeron,et al.  Correlation between the Resistance Genotype Determined by Multiplex PCR Assays and the Antibiotic Susceptibility Patterns of Staphylococcus aureus andStaphylococcus epidermidis , 2000, Antimicrobial Agents and Chemotherapy.

[23]  T. Heikkinen,et al.  Prevalence of various respiratory viruses in the middle ear during acute otitis media. , 1999, The New England journal of medicine.

[24]  C. Spiegel,et al.  Identification of methicillin-resistant staphylococci by multiplex polymerase chain reaction assay. , 1997, American journal of clinical pathology.

[25]  A. Tomasz,et al.  Expression of methicillin resistance in heterogeneous strains of Staphylococcus aureus , 1986, Antimicrobial Agents and Chemotherapy.

[26]  Ellen Jo Baron,et al.  Manual of clinical microbiology , 1975 .