Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.

Staphylococcus aureus, especially methicillin-resistant S. aureus (MRSA), is an important bacterium that causes community and healthcare-related infections throughout the world. However, the current conventional detection methods are time-consuming. We therefore developed and evaluated a recombinase...

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Main Authors: Arpasiri Srisrattakarn, Pimchanok Panpru, Patcharaporn Tippayawat, Aroonwadee Chanawong, Ratree Tavichakorntrakool, Jureerut Daduang, Lumyai Wonglakorn, Aroonlug Lulitanond
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0270686
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author Arpasiri Srisrattakarn
Pimchanok Panpru
Patcharaporn Tippayawat
Aroonwadee Chanawong
Ratree Tavichakorntrakool
Jureerut Daduang
Lumyai Wonglakorn
Aroonlug Lulitanond
author_facet Arpasiri Srisrattakarn
Pimchanok Panpru
Patcharaporn Tippayawat
Aroonwadee Chanawong
Ratree Tavichakorntrakool
Jureerut Daduang
Lumyai Wonglakorn
Aroonlug Lulitanond
author_sort Arpasiri Srisrattakarn
collection DOAJ
description Staphylococcus aureus, especially methicillin-resistant S. aureus (MRSA), is an important bacterium that causes community and healthcare-related infections throughout the world. However, the current conventional detection methods are time-consuming. We therefore developed and evaluated a recombinase polymerase amplification-lateral flow strip (RPA-LF) approach for detection of MRSA in positive blood-culture samples. Sixty positive blood-cultures from a hospital were tested directly without DNA extraction and purification before the amplification reaction. RPA primers and probes were designed for nuc (encoding thermonuclease) and mecA (encoding penicillin-binding protein 2a) genes to diagnose S. aureus and its methicillin-resistance status. The RPA reaction occurred under isothermal conditions (45°C) within 20 min and a result was provided by the LF strip in a further 5 min at room temperature. The evaluation of RPA-LF using blood-culture samples showed 93.3% (14/15) sensitivity for identifying S. aureus, and no cross-amplification was seen [100% (45/45) specificity]. For detection of methicillin resistance, the RPA-LF test provided 100% (16/16) sensitivity and 97.7% (43/44) specificity. The RPA-LF is rapid, highly sensitive, robust and easy to use. It can be used for direct detection of MRSA with no requirement for special equipment.
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spelling doaj.art-29eda6b0dc3e45bbafe3952e6316da952022-12-22T01:53:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e027068610.1371/journal.pone.0270686Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.Arpasiri SrisrattakarnPimchanok PanpruPatcharaporn TippayawatAroonwadee ChanawongRatree TavichakorntrakoolJureerut DaduangLumyai WonglakornAroonlug LulitanondStaphylococcus aureus, especially methicillin-resistant S. aureus (MRSA), is an important bacterium that causes community and healthcare-related infections throughout the world. However, the current conventional detection methods are time-consuming. We therefore developed and evaluated a recombinase polymerase amplification-lateral flow strip (RPA-LF) approach for detection of MRSA in positive blood-culture samples. Sixty positive blood-cultures from a hospital were tested directly without DNA extraction and purification before the amplification reaction. RPA primers and probes were designed for nuc (encoding thermonuclease) and mecA (encoding penicillin-binding protein 2a) genes to diagnose S. aureus and its methicillin-resistance status. The RPA reaction occurred under isothermal conditions (45°C) within 20 min and a result was provided by the LF strip in a further 5 min at room temperature. The evaluation of RPA-LF using blood-culture samples showed 93.3% (14/15) sensitivity for identifying S. aureus, and no cross-amplification was seen [100% (45/45) specificity]. For detection of methicillin resistance, the RPA-LF test provided 100% (16/16) sensitivity and 97.7% (43/44) specificity. The RPA-LF is rapid, highly sensitive, robust and easy to use. It can be used for direct detection of MRSA with no requirement for special equipment.https://doi.org/10.1371/journal.pone.0270686
spellingShingle Arpasiri Srisrattakarn
Pimchanok Panpru
Patcharaporn Tippayawat
Aroonwadee Chanawong
Ratree Tavichakorntrakool
Jureerut Daduang
Lumyai Wonglakorn
Aroonlug Lulitanond
Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.
PLoS ONE
title Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.
title_full Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.
title_fullStr Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.
title_full_unstemmed Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.
title_short Rapid detection of methicillin-resistant Staphylococcus aureus in positive blood-cultures by recombinase polymerase amplification combined with lateral flow strip.
title_sort rapid detection of methicillin resistant staphylococcus aureus in positive blood cultures by recombinase polymerase amplification combined with lateral flow strip
url https://doi.org/10.1371/journal.pone.0270686
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