Galia Liliana, Ligozzi Marco, Bertoncelli Anna, Mazzariol Annarita
Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
AIMS Microbiol. 2019 May 21;5(2):138-146. doi: 10.3934/microbiol.2019.2.138. eCollection 2019.
Rapid detection of Methicillin Resistant (MRSA) is an important concern for both treatment and implementation of infection control policies. The present study provides an 'in house' real-time PCR assay to detect directly , , and genes. The assay is able to perform identification of MRSA, Methicillin-Sensitive , Methicillin-Resistant Coagulase Negative Staphylococci and the Panton-Valentine leukocidin virulence gene from rectal and pharyngeal swab samples in a screening context. We found an analytical sensitivity of this current Triplex PCR assay of 514 CFU/mL. Analytical specificity was tested with different Gram-positive and Gram-negative species and yielded no false-positive PCR signal. The sensitivity and specificity of the Triplex Real Time PCR were both 100% for these targets when compared with the culture and conventional methods. This assay is readily adaptable for routine use in a microbiology laboratory, as it will enable the implementation of timely and properly guided therapy and infection control strategies.
耐甲氧西林金黄色葡萄球菌(MRSA)的快速检测对于感染控制政策的治疗和实施而言是一个重要问题。本研究提供了一种“内部”实时聚合酶链反应(PCR)检测方法,可直接检测、和基因。该检测方法能够在筛查环境下,从直肠和咽拭子样本中鉴定出MRSA、甲氧西林敏感金黄色葡萄球菌、耐甲氧西林凝固酶阴性葡萄球菌以及杀白细胞素毒力基因。我们发现当前这种三重PCR检测方法的分析灵敏度为514 CFU/mL。用不同的革兰氏阳性菌和革兰氏阴性菌进行分析特异性测试,未产生假阳性PCR信号。与培养法和传统方法相比,三重实时PCR对于这些靶标的灵敏度和特异性均为100%。该检测方法易于在微生物实验室中常规使用,因为它能够实施及时且指导恰当的治疗和感染控制策略。