PMID- 28250621 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 0974-777X (Print) IS - 0974-8245 (Electronic) IS - 0974-777X (Linking) VI - 9 IP - 1 DP - 2017 Jan-Mar TI - Evolving Rapid Methicillin-resistant Staphylococcus aureus Detection: Cover All the Bases. PG - 18-22 LID - 10.4103/0974-777X.199997 [doi] AB - The dissemination of methicillin-resistant (MR) Staphylococcus aureus (SA) in community and health-care settings is of great concern and associated with high mortality and morbidity. Rapid detection of MRSA with short turnaround time can minimize the time to initiate appropriate therapy and further promote infection control. Early detection of MRSA directly from clinical samples is complicated by the frequent association of MRSA with methicillin-susceptible SA (MSSA) and coagulase-negative Staphylococcus (CoNS) species. Infection associated with true MRSA or MSSA is differentiated from CoNS, requires target specific primers for the presence of SA and mec A or nuc or fem A gene for confirmation of MR. Recently, livestock-associated MRSA carrying mec C variant complicates the epidemiology of MRSA further. Several commercial rapid molecular kits are available with a different combination of these targets for the detection of MRSA or MSSA. The claimed sensitivity and specificity of the currently available commercial kits is varying, because of the different target combination used for detection of SA and MR. FAU - Bakthavatchalam, Yamuna Devi AU - Bakthavatchalam YD AD - Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India. FAU - Nabarro, Laura E B AU - Nabarro LE AD - Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India; Department of Infectious Disease, Public Health England, London, UK. FAU - Veeraraghavan, Balaji AU - Veeraraghavan B AD - Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India. LA - eng PT - Journal Article PT - Review PL - India TA - J Glob Infect Dis JT - Journal of global infectious diseases JID - 101521436 PMC - PMC5330039 OTO - NOTNLM OT - Livestock-methicillin-resistant Staphylococcus aureus OT - Xpert MRSA assay OT - methicillin-resistant Staphylococcus aureus OT - methicillin-susceptible Staphylococcus aureus COIS- There are no conflicts of interest. EDAT- 2017/03/03 06:00 MHDA- 2017/03/03 06:01 PMCR- 2017/01/01 CRDT- 2017/03/03 06:00 PHST- 2017/03/03 06:00 [entrez] PHST- 2017/03/03 06:00 [pubmed] PHST- 2017/03/03 06:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - JGID-9-18 [pii] AID - 10.4103/0974-777X.199997 [doi] PST - ppublish SO - J Glob Infect Dis. 2017 Jan-Mar;9(1):18-22. doi: 10.4103/0974-777X.199997.