title: [Application of multiplex pcr for identification of MRSA and MRCNS strains in medium of automatic blood culture system].
abstract: Rapid detection and identification ofmethicillin-resistant staphylococci in patient's blood is essential for the prompt antimicrobial therapy of infection. Molecular-based diagnosis, in comparison to conventional methods, allows to increase sensitivity and to reduce time necessary to achieve positive results and also enable to test susceptibility. The aim of the study was the use of multiplex PCR to detect region of the 16S rRNA that is unique to staphylococci, the S. aureus-specific clfA gene and the mecA gene which is a determinant of methicillin resistance, in a medium of the BACTEC blood culture system. Three different extraction methods were examined in order to ascertain the most suitable method to isolate staphylococcal DNA. The only method which removed PCR inhibitors contained in BACTEC blood culture material use Triton X-100 and lysostaphyin to lysis bacterial cells. The use of High Template Preparation Kit failed to yield a positive result in all investigated probes. Third of the methods, based on alkali lysis, resulted in DNA which could be amplified by PCR only in case of S. aureus blood culture. The findings of our study suggest that not all DNA extraction methods are appropriate because some of them may not remove potent amplification inhibitors found in blood and medium of system BACTEC.
authors.affiliation: Katedra i Zakład Mikrobiologii, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, Uniwersytetu Mikołaja Kopernika w Toruniu.
authors.forename: Anna
authors.initials: A
authors.lastname: Budzyńiska
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Kaczmarek
authors.forename: Eugenia
authors.initials: E
authors.lastname: Gospodarek
mesh_terms: D015373:Bacterial Typing Techniques; D001483:Base Sequence; D004269:DNA, Bacterial / Q000032:analysis; D006801:Humans; D016106:Methicillin Resistance / Q000235:genetics; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008826:Microbial Sensitivity Tests; D016133:Polymerase Chain Reaction / Q000379:methods*; D012329:RNA, Bacterial / Q000235:genetics; D012680:Sensitivity and Specificity; D013203:Staphylococcal Infections / Q000097:blood / Q000175:diagnosis* / Q000382:microbiology*; D013210:Staphylococcus / Q000145:classification
chemical_list: D004269:DNA, Bacterial; D012329:RNA, Bacterial