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Test Code MECPI Methicillin Resistance Gene, Molecular Detection, PCR, Varies

Infectious


Shipping Instructions


1. For shipping information, see Infectious Specimen Shipping Guidelines.

2. Place specimen in a large infectious container and label as an etiologic agent/infectious substance.



Necessary Information


Organism identification and specimen source are required.



Specimen Required


Supplies: Infectious Container, Large (T146)

Container/Tube: Agar slant or other appropriate media

Specimen Volume: Organism in pure culture

Collection Instructions:

1. Perform isolation of bacteria.

2. Organism must be in pure culture, actively growing. Do not submit mixed cultures.


Secondary ID

621419

Useful For

Detecting mecA in staphylococcal bacterial isolates

 

Evaluating treatment options when oxacillin or cefoxitin breakpoints are unavailable (eg, certain Staphylococcus species other than Staphylococcus aureus)

 

Predicting antimicrobial resistance when bacterial growth is inadequate for phenotypic antimicrobial susceptibility testing (eg, staphylococcal small colony variants)

 

Assessing discrepancies amongst cefoxitin and oxacillin phenotypic testing results or penicillin-binding protein 2a test results

Method Name

Real-Time Polymerase Chain Reaction (PCR)/Reverse Transcription PCR (RT-PCR)

Specimen Type

Varies

Specimen Minimum Volume

See Specimen Required

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Ambient (preferred)
  Refrigerated 

Reject Due To

Agar plate
Mixed culture
Reject

Reference Values

Not detected

Interpretation

A positive result indicates the presence of the methicillin resistance gene (mecA) in the bacterial isolate.

 

A negative result indicates the absence of detectable DNA in the bacterial isolate.

Method Description

The GeneXpert Dx System automates and integrates sample purification, nucleic acid amplification, and detection of the target sequence using real-time polymerase chain reaction (PCR). The system uses single-use disposable cartridges that hold the PCR reagents and host the PCR process. Because the cartridges are self-contained, cross-contamination is minimized. The test utilizes automated PCR for qualitative detection of proprietary sequences for the staphylococcal protein A (spa) gene, the gene for methicillin resistance (mecA), and the staphylococcal methicillin-resistant Staphylococcus aureus /S aureus DNA cassette chromosome mec (SCCmec) inserted into the S aureus chromosomal attB site. The assay includes a sample processing control to ensure the sample was processed correctly and to monitor for the presence of inhibitors in the PCR reaction. A probe check control verifies reagent rehydration, PCR tube filling in the cartridge, probe integrity, and dye stability.(Package insert: Xpert SA Nasal Complete 300-8799. Cepheid; Rev H, 09/2019)

Day(s) Performed

Monday through Friday

Report Available

2 to 4 days

Specimen Retention Time

30 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

87641

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MECPI Methicillin Resistance Gene, Varies 48813-0

 

Result ID Test Result Name Result LOINC Value
MECPR mecA Resistance Gene 48813-0
MEORG Organism Identified by Client In Process
MESCR Specimen Source 31208-2