year 13, Issue 1 (March - April 2019)                   Iran J Med Microbiol 2019, 13(1): 22-31 | Back to browse issues page


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1- Department of Biology, Faculty of Basic Sciences, Arak Branch, Islamic Azad University, Arak, Iran
2- Applied Microbiology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran , jafar.amani@gmail.com
3- Department of Biology, Faculty of Basic Sciences, Imam Hussein University, Tehran, Iran
4- Applied Microbiology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
5- Applied Biotechnology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract:   (6677 Views)
Background and Aims: High prevalence of Methicillin Resistant Staphylococcus Aureus isolates (MRSA) as well as the multi-drug resistance in this bacterium causes difficulties in the treatment of infections due to these bacteria. Hence, detection of MRSA isolates by rapid and accurate methods is necessary. PCR-ELISA is an accurate and molecular technique that is used for the detection of several pathogens. The aim of this study is the detection of MRSA using PCR-ELISA.
Materials and Methods: Specific primers for mecA gene were designed. Then, dNTP labeled with Digoxigenin was applied for amplifying mecA gene. DIG-labeled PCR products were seeded on the well coated streptoavidin and identified by anti-DIG–peroxidase conjugate. Furthermore, Biotin-labeled DNA probe specific for mecA gene was used. Sensitivity and specificity of the method was determined. Resistance to methicillin among 70 clinical isolates was determined by the disk diffusion, agar dilution and PCR-ELISA methods.
Results: MecA gene of S. aureus was amplified using gene specific primers resulted in a fragment with 310 bp length. Findings from the PCR-ELISA technic showed no cross-reactivity with Klebsiella Pneumoniae, Bacillus subtilis and Esheriashia coli as control bacteria and its sensitivity was 0.5 ng. The prevalence of MRSA clinical isolates by the disk diffusion, agar dilution and PCR-ELISA methods was 60%, 58.5% and 60%, respectively.
Conclusion:The PCR-ELISA technique was known as an accurate and rapid test for the detection of infection agents using their specific gene. This technic can applied as an appropriate alternative method for time-consuming, less sensitive and expensive techniques such as Real-time PCR and differential biochemical tests which are currently used in laboratory.
 
 
 
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Type of Study: Original Research Article | Subject: Molecular Microbiology
Received: 2017/12/19 | Accepted: 2019/06/22 | ePublished: 2019/07/22

References
1. Nazari MR, Sekawi Z, Sadeghifard N, Raftari M, Ghafourian S. Methicillin-Resistant Staphylococcus Aureus: A Systematic Review. Rev Med Microbiol. 2015; 26(1):1-7. [DOI:10.1097/MRM.0000000000000023]
2. Laupland KB, Lyytikäinen O, Søgaard M, Kennedy KJ, Knudsen JD, Ostergaard C, et al .The Changing Epidemiology of Staphylococcus Aureus Bloodstream Infection: A Multinational Population-Based Surveillance Study. Clin Microbiol Infect. 2013; 19:465-471. https://doi.org/10.1111/j.1469-0691.2012.03903.x [DOI:10.1111/1469-0691.12144] [PMID]
3. Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler VG Jr. Staphylococcus Aureus Infections: Epidemiology, Pathophysiology, Clinical Manifestations, and Management. Clin Microbiol Rev. 2015; 28:603-661. [DOI:10.1128/CMR.00134-14] [PMID] [PMCID]
4. Chen CJ, Huang YC. New Epidemiology of Staphylococcus Aureus Infection in Asia. Clin Microbiol Infect. 2014; 20(7):605-623. [DOI:10.1111/1469-0691.12705] [PMID]
5. Hiramatsu K, Ito T, Tsubakishita S, Sasaki T, Takeuchi F, Morimoto Y, et al. Genomic Basis for Methicillin Resistance in Staphylococcus Aureus. Infect Chemother. 2013; 45:117-136. [DOI:10.3947/ic.2013.45.2.117] [PMID] [PMCID]
6. Purrello SM, Garau J, Giamarellos E, Mazzei T, Pea F, Soriano A, et al. Methicillin-Resistant Staphylococcus Aureus Infections: A Review of the Currently Available Treatment Options. J Glob Antimicrob Resist. 2016; 7:178-186. [DOI:10.1016/j.jgar.2016.07.010] [PMID]
7. Tan TY, Corden S, Barnes R, Cookson B. Rapid Identification of Methicillin-Resistant Staphylococcus aureus from Positive Blood Cultures by Real-Time Fluorescence PCR. J Clin Microbiol. 2001; 39(12):4529-4531. [DOI:10.1128/JCM.39.12.4529-4531.2001] [PMID] [PMCID]
8. Martineau F, Picard FJ, Roy PH, Ouellette M, Bergeron MG. Species-Specific and Ubiquitous-DNA-Based Assays for Rapid Identification of Staphylococcus Aureus. J Clin Microbiol. 1998; 36: 618-623.
9. Chapin K , Musgnug M. Evaluation of Three Rapid Methods for the Direct Identification of Staphylococcus Aureus From Positive Blood Cultures. J Clin Microbiol. 2003; 41: 4324-4327. [DOI:10.1128/JCM.41.9.4324-4327.2003] [PMID] [PMCID]
10. Hamula CL, Zhang H, Li F, Wang Z, Le XC, Li XF. Selection and Analytical Applications of Aptamers Binding Microbial Pathogens. Trends Analyt Chem. 2011; 30: 1587-1597. [DOI:10.1016/j.trac.2011.08.006]
11. Lee JO, So HM, Jeon EK, Chang H, Won K, Kim YH. Aptamers as Molecular Recognition Elements for Electrical Nanobiosensors. Anal Bioanal Chem. 2008; 390: 1023-1032. [DOI:10.1007/s00216-007-1643-y] [PMID] [PMCID]
12. Sue MJ, Yeap SK, Omar AR, Tan SW. Application of PCR-ELISA in Molecular Diagnosis. BioMed Res Int. 2014; 2014. [DOI:10.1155/2014/653014] [PMID] [PMCID]
13. Havaei SA, Halaji M, Vidovic S, Dillon Jo-AR, Karbalaei M, Ghanbari F, et al. Prevalence and Genotyping of Methicillin-Resistant and-Susceptible Staphylococcus Aureus Strains Isolated From Patients in a University Hospital, Isfahan, Iran. Jundishapur J Microbiol. 2017; 10: e13571. [DOI:10.5812/jjm.13571]
14. Hamdan-Partida A, Sainz-Espuñes T, Bustos-MartínezJ. Characterization and Persistence of Staphylococcus Aureus Strains Isolated From the Anterior Nares and Throats of Healthy Carriers in a Mexican Community. J Clin Microbiol. 2010; 48: 1701-1705. [DOI:10.1128/JCM.01929-09] [PMID] [PMCID]
15. Zhang K, McClure JA, Elsayed S, LouieT, Conly JM. Novel Multiplex PCR Assay for Characterization and Concomitant Subtyping of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-Resistant Staphylococcus Aureus. J Clin Microbiol. 2005; 43: 5026-33. [DOI:10.1128/JCM.43.10.5026-5033.2005] [PMID] [PMCID]
16. Wolk DM, Blyn LB, Hall TA, Sampath R, Ranken R, Ivy C,et al. Pathogen Profiling: Rapid Molecular Characterization of Staphylococcus Aureus by PCR/Electrospray Ionization-Mass Spectrometry and Correlation With Phenotype. J Clin Microbiol. 2009; 4737-3129. [DOI:10.1128/JCM.00709-09] [PMID] [PMCID]
17. Graveland H, Wagenaar JA, Heesterbeek H, Mevius D, Van Duijkeren E, Heederik D. Methicillin Resistant Staphylococcus Aureus ST398 in Veal Calf Farming: Human MRSA Carriage Related With Animal Antimicrobial Usage and Farm Hygiene. PLoS One. 2010; 5(6): e10990. [DOI:10.1371/journal.pone.0010990] [PMID] [PMCID]
18. Ružauskas M, Couto N, Šiugždinienė R, Belas A, Klimienė I, Virgailis M, et al. Occurrence and Characterization of Livestock-Associated Methicillin-Resistant Staphylococcus Aureus. Veterinarija ir Zootechnika. 2014; 66.
19. Najar PS, Azimian A, Mostafaei M, Siadat SD. Identification of Methicillin-Resistant Staphylococcus Aureus by Disk Diffusion Method, Determination of MIC and PCR for MecA Gene. Pathobiol Res. 2009; 12:61-69.
20. Gilligan K, Shipley M, Stiles B, Hadfield TL, Ibrahim MS. Identification of Staphylococcus Aureus Enterotoxins A and B Genes by PCR-ELISA. Mol Cell Probes. 2000; 14:71-78. [DOI:10.1006/mcpr.2000.0286] [PMID]

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