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Test Code MRSAP Methicillin Resistant Staphylococcus aureus, PCR, Nasal


Specimen Required


Specimen Type: Nasal cavity swab

Supplies: BD E-Swab (T853)

Container/Tube:

Preferred: BD Liquid Amies Elution Swab (E-Swab)

Acceptable: Copan Liquid Amies Elution Swab (ESwab); Cepheid nasal sample collection device (dual swab in liquid Stuart media); or Copan swab and transport systems (LQ Stuart or LQ Amies) (scored swabs only)

Specimen Volume: Entire collection

Collection Instructions:

1. Ask the patient to blow their nose prior to collection.

2. Use one swab for both right and left nares.

3. Insert the white Dacron swab tip (do not insert any further in) into the anterior nares.

4. Rotate the swab for 3 seconds against the nasal mucosa. Apply slight pressure on the outside of the nose with your finger to ensure good contact.

5. Repeat the process on the other nostril.

6. Insert the swab back into the carrier. The swabs should go all the way into the transport container. Tightly cap the container.

7. Label the transport container with patient label and send refrigerate.


Secondary ID

609735

Useful For

Rapid screening test for Staphylococcus aureus nasal carriage that, if positive, indicates whether the S aureus is methicillin susceptible or resistant

 

This test should not be used to guide or monitor treatment for methicillin-resistant S aureus or S aureus infections.

Method Name

Real-Time Polymerase Chain Reaction (PCR)

Specimen Type

Swab

Specimen Minimum Volume

See Specimen Required.

Specimen Stability Information

Specimen Type Temperature Time Special Container
Swab Refrigerated (preferred) 5 days
  Ambient  24 hours

Reject Due To

Incorrect swab collection/non-scored swabs Reject

Reference Values

Negative for Staphylococcus aureus

Negative for methicillin-resistant S aureus

Interpretation

A positive result indicates presence of DNA from Staphylococcus aureus. The assay also detects the gene for methicillin resistance (mecA).

 

A negative result indicates the absence of detectable S aureus DNA in the specimen.

Method Description

The GeneXpert Dx System automates and integrates sample purification, nucleic acid amplification, and detection of the target sequence in simple or complex samples 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 between samples is minimized.

 

The Cepheid Xpert SA Nasal Complete Assay performed in the GeneXpert System is a qualitative in vitro diagnostic test designed for rapid detection of Staphylococcus aureus and methicillin-resistant S aureus (MRSA) from nasal swabs in patients at risk for nasal colonization. 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 MRSA/SA 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 Sunday

Report Available

1 day

Specimen Retention Time

5 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

87641

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MRSAP Staph aureus/MRSA, Nasal, PCR 72887-3

 

Result ID Test Result Name Result LOINC Value
MSSAC Staphylococcus aureus, PCR 79447-9
MRSAC MRSA, PCR 72887-3