Evaluation of MRSASelect for Detecting Methicillin-Resistant Staphylococcus aureus from Surveillance Specimens.
- Author:
Dongheui AN
;
Hong Seon JEON
;
Sookja PARK
;
Heungsup SUNG
;
Mi Na KIM
- Publication Type:Original Article
- Keywords:
Mannitol salt agar;
MRSA;
MRSASelect;
Surveillance culture
- MeSH:
Agar;
Enterobacter;
Infection Control;
Mannitol;
Methicillin Resistance*;
Methicillin-Resistant Staphylococcus aureus*;
Oxacillin;
Sensitivity and Specificity;
Sputum;
Staphylococcus aureus
- From:Korean Journal of Nosocomial Infection Control
2007;12(1):28-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: A rapid and sensitive surveillance culture has a pivotal role in infection control of methicillinresistant Staphylococcus aureus (MRSA). This study was aimed to compare the performance of MRSASelect (Bio-Rad, France) to that of mannitol salt agar containing 6 microgram/mL of oxacillin (MSA-OX) for detecting MRSA in surveillance cultures. METHOD: From May to June 2006, 86 nasal swabs and 21 sputum specimens were enrolled. All specimens were inoculated onto MRSASelect and MSA-OX, which were incubated for 2 days and 3 days, respectively, and colonies were read daily by a technologist. Pink colonies on MRSASelect and yellow colonies on MSA-OX were examined with Gram stain, Pastorex(R) Staph-plus (Bio-Rad) and mecA-PCR. After the final reading, both media were re-examined by a superviser. RESULTS: Of the 107 specimens cultured, 32 (29.9%) were positive for MRSA. Of these, 27 were detected by both media, one by MSA-OX only, and 4 by re-examination. The day-1 and day-2 sensitivities/specificities of MRSASelect were 78.1%/97.3% and 84.4%/97.3%, respectively, while those of MSA-OX were 53.1%/100% and 78.1%/92.1%, respectively. With MRSASelect, two more positives were detected at day 2, but their incubation was less than 18 hour at day 1. There were six false positive organisms detected: three Enterobacter spp., one Acinectobacter spp., and two coagulase-negative staphylococci (CNS). But, the two CNS grew on MSA-OX only. CONCLUSION: MRSASelect with 1-day incubation showed a sensitivity equivalent to and a specificity better than MSA-OX with 2-day incubation. MRSASelect should be a useful medium for MRSA surveillance when it is read after an incubation of 18-28 hours with the confirmatory Gram stain of screen-positives.
