Test Code MECPI Methicillin Resistance Gene, Molecular Detection, PCR, Varies
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
621419Useful 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
Special Instructions
Method Name
Real-Time Polymerase Chain Reaction (PCR)/Reverse Transcription PCR (RT-PCR)
Specimen Type
VariesSpecimen 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 daysSpecimen Retention Time
30 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterCPT 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 |