Evidence map›Paper›PMID 12843061›Full record

ArticleJournal of clinical microbiology2003

Molecular typing of methicillin-resistant Staphylococcus aureus: can PCR replace pulsed-field gel electrophoresis?

A Strandén, R Frei, A F Widmer

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed.

  1. Antimicrobial efficacy of preoperative skin antisepsis and clonal relationship to postantiseptic skin-and-wound flora in patients undergoing clean orthopedic surgery.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2015
    Trial
  2. Article
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  4. SaLTy: a novelMicrobial genomics · 2024
    Article
  5. Article
  6. Article
  7. Evaluation of the genetic relatedness ofIranian journal of basic medical sciences · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Antimicrobial resistance and infection control · 2019
    Article
  13. Article
  14. Genetic diversity ofIranian journal of microbiology · 2018
    Article
  15. Molecular typing of3 Biotech · 2018
    Article
  16. Methicillin-resistantInfection and drug resistance · 2018
    Review
  17. Direct repeat unitCanadian journal of veterinary research = Revue canadienne de recherche veterinaire · 2017
    Article
  18. Article
  19. Molecular typing of nosocomialIranian journal of basic medical sciences · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

A StrandénDivision of Hospital Epidemiology, University Hospital Basel, CH-3031 Basel, Switzerland.
R Frei
A F Widmer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulsed-field gel electrophoresis (PFGE) is considered the "gold standard" for molecular typing of methicillin-resistant Staphylococcus aureus (MRSA). However, the method is time-consuming and expensive, and its discriminatory power may not be necessary in outbreak situations. We used a rapid multiplex PCR-based method with published primers and compared the results with those obtained by PFGE. A total of 75 clinical isolates were typed: 59 strains originated from our prospectively collected clinical strains and were epidemiologically unrelated; 16 strains came from an outbreak that was epidemiologically well defined in time and space. A primer mix of the spa gene, the coa gene, and the hypervariable region adjacent to mecA gene was used for multiplex PCR. Both PFGE and PCR clustered the 75 strains into 41 different genotypes. Concordance of the results was 100% for strains originating from the outbreak. Overall, both methods produced concordant results in 72% of cases. A total of 16% were clustered together by PFGE, but not by PCR and 12% were clustered together by PCR but not by PFGE, respectively. The turnaround time was only 8 h for PCR but 5 days for PFGE. This PCR-based method is excellent for rapid and inexpensive typing of MRSA in an outbreak setting, but the discriminatory power and reproducibility are still insufficient to replace PFGE in longitudinal studies in the endemic setting.

Indexed as

Electrophoresis, Gel, Pulsed-FieldMethicillin ResistanceBacterial Typing TechniquesDisease OutbreaksHumansPolymerase Chain ReactionProspective StudiesReproducibility of ResultsSensitivity and SpecificityStaphylococcal InfectionsStaphylococcus aureusTime Factors

Identifiers

PMID12843061
PMCPMC165370

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.