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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.


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)

Reporting Name

Methicillin Resistance Gene, Varies

Specimen Type

Varies

Specimen Minimum Volume

See Specimen Required

Specimen Stability Information

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

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.

Clinical Reference

1. Xpert SA Nasal Complete 300-8799. Package insert: Cepheid; Rev H, 09/2019

2. Ali GH, Seiffein N. Association of some virulence genes in methicillin resistant and methicillin sensitive Staphylococcus aureus infections isolated in community with special emphasis on pvl/mecA genes profiles in Alexandria, Egypt. Gene Reports. 2021;25:101334. doi:10.1016/j.genrep.2021.101334

3. Seker E, Ozenc E, Turedi OK, Yilmaz M. Prevalence of mecA and pvl genes in coagulase negative staphylococci isolated from bovine mastitis in smallholder dairy farms in Turkey. Anim Biotechnol. 2022;34(7):2427-2432. doi:10.1080/10495398.2022.2094802

4. Palavecino E. Rapid methods for detection of MRSA in clinical specimens. Methods Mol Biol. 2020:2069:29-45. doi:10.1007/978-1-4939-9849-4_2

Day(s) Performed

Monday through Friday

Report Available

2 to 4 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.

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