Ann Lab Med.  2017 Jul;37(4):320-322. 10.3343/alm.2017.37.4.320.

Rapid Detection of Staphylococcus aureus and Methicillin-Resistant S. aureus in Atopic Dermatitis by Using the BD Max StaphSR Assay

Affiliations
  • 1Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • 2Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea. drseo@cau.ac.kr

Abstract

Eczematous lesions of atopic dermatitis (AD) patients are known to be a source of Staphylococcus aureus (SA) transmission and might be a reservoir for community-associated methicillin-resistant SA (MRSA). The BD Max StaphSR (BD-SR) is a fully automated, multiplex real-time PCR assay for the direct detection and differentiation of SA and MRSA from nasal swab samples. We evaluated the detection rates of SA and MRSA from skin lesions of outpatients with AD using the BD-SR assay, and determined the usefulness of the BD-SR assay. A total of 244 skin swab samples (skin lesions of 213 outpatients with AD and normal skin of 31 healthy controls) were tested directly by using the BD-SR assay. Of the 213 samples from patients with AD, 69 (32.4%) were positive for SA, 6 (8.7%) of which were positive for MRSA. Only 1 (3.2%) of 31 samples from healthy controls was positive for SA. The BD-SR assay is effective for the rapid detection of SA and MRSA from skin swab samples, which can provide important information for managing patients with AD and preventing the spread of MRSA.

Keyword

Atopic dermatitis; Staphylococcus aureus; Methicillin-resistant Staphylococcus aureus; BD Max StaphSR

MeSH Terms

Dermatitis, Atopic*
Humans
Methicillin Resistance*
Methicillin-Resistant Staphylococcus aureus
Outpatients
Real-Time Polymerase Chain Reaction
Skin
Staphylococcus aureus*
Staphylococcus*

Reference

1. Flohr C, Mann J. New insights into the epidemiology of childhood atopic dermatitis. Allergy. 2014; 69:3–16.
Article
2. Leung DY, Boguniewicz M, Howell MD, Nomura I, Hamid QA. New insights into atopic dermatitis. J Clin Invest. 2004; 113:651–657.
Article
3. Hall GS, Woods GL, Smith B. Medical bacteriology. In : McPherson RA, Pincus MR, editors. Henry's clinical diagnosis and management by laboratory methods. 23rd ed. St. Louis, MO: Elsevier;2017. p. 1158–1160.
4. Hardy K, Price C, Szczepura A, Gossain S, Davies R, Stallard N, et al. Reduction in the rate of methicillin-resistant Staphylococcus aureus acquisition in surgical wards by rapid screening for colonization: a prospective, cross-over study. Clin Microbiol Infect. 2010; 16:333–339.
5. Chung HJ, Jeon HS, Sung H, Kim MN, Hong SJ. Epidemiological characteristics of methicillin-resistant Staphylococcus aureus isolates from children with eczematous atopic dermatitis lesions. J Clin Microbiol. 2008; 46:991–995.
6. Silbert S, Kubasek C, Galambo F, Vendrone E, Widen R. Evaluation of BD Max StaphSR and BD Max MRSAXT assay using ESwab collected specimens. J Clin Microbiol. 2015; 53:2525–2529.
7. Hoeger PH. Antimicrobial susceptibility of skin-colonizing S. aureus strains in children with atopic dermatitis. Pediatr Allergy Immunol. 2004; 15:474–477.
8. Tang CS, Wang CC, Huang CF, Chen SJ, Tseng MH, Lo WT. Antimicrobial susceptibility of Staphylococcus aureus in children with atopic dermatitis. Pediatr Int. 2011; 53:363–367.
9. Jung MY, Chung JY, Lee HY, Park J, Lee DY, Yang JM. Antibiotic Susceptibility of Staphylococcus aureus in atopic dermatitis: Current prevalence of methicillin-resistant Staphylococcus aureus in Korea and treatment strategies. Ann Dermatol. 2015; 27:398–403.
10. Blanc DS, Basset P, Nahimana-Tessemo I, Jaton K, Greub G, Zanetti G. High proportion of wrongly identified methicillin-resistant Staphylococcus aureus carriers by use of a rapid commercial PCR assay due to presence of staphylococcal cassette chromosome element lacking the mecA gene. J Clin Microbiol. 2011; 49:722–724.
11. Mendes RE, Watters AA, Rhomberg PR, Farrell DJ, Jones RN. Performance of BD Max StaphSR for screening of methicillin-resistant Staphylococcus aureus isolates among a contemporary and diverse collection from 146 institutions located in nine U.S. census regions: Prevalence of mecA dropout mutants. J Clin Microbiol. 2016; 54:204–207.
12. Dalpke AH, Hofko M, Hamilton F, Mackenzie L, Zimmermann S, Templeton K. Evaluation of the BD Max StaphSR assay for rapid identification of Staphylococcus aureus and methicillin-resistant S. aureus in positive blood culture broths. J Clin Microbiol. 2015; 53:3630–3632.
13. Ellem JA, Olma T, O'Sullivan MV. Rapid detection of methicillin-resistant Staphylococcus aureus and methicillin-susceptible S. aureus Directly from positive blood cultures by use of the BD Max StaphSR assay. J Clin Microbiol. 2015; 53:3900–3904.
14. Lee J, Park YJ, Park DJ, Park KG, Lee HK. Evaluation of BD MAX Staph SR assay for differentiating between Staphylococcus aureus and coagulase-negative Staphylococci and determining methicillin resistance directly from positive blood cultures. Ann Lab Med. 2017; 37:39–44.
Full Text Links
  • ALM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr