Polymerase Chain Reaction을 이용한 Methicillin-resistant Staphylococci의 신속 검출

A Rapid Detection of Methicillin-Resistant Staphylococci by Polymerase Chain Reaction

Methicillin-resistant staphylococci를 신속하게 검출하기 위한 방법으로 mecA polymerase chain reaction을 이용하고 결과를 항생제 감수성 검사와 비교하였다. 국내 병원에 입원중인 환자와 종사자로부터 총 43개의 staphylococci를 분리하여 항생제 감수성 시험을 실시한 결과, 43균주 중 methicillin 내성 균주(MRS)는 39 균주, 감수성 균주(MSS)는 4균주이었다. PCR시험결과, methicillin 내성 균주에서는 MRSC (methicillin-resistant Staphylococcus cohnii), 1 균주(HRC2-4)를 제외하고 mecA 유전자에 해당하는 533bp의 절편이 중폭되었다. 한편, methicillin 감수성으로 분류된 MSSA (methicillin-susceptable Staphylococcus aureus), 1 균주(HSA1-10)에서도 mecA 유전자가 중폭되어 항생제 감수성과 상반된 결과를 보였다. 모든 MSSA는 mecA 양성을나타내었으나, 전체적으로 mecA 유전자의 유무는 항생제 감수성 검사와 95.6%의 일치를 나타냈다.

PCR of the mecA gene for the rapid detection of methicillin-resistant staphylococci was perfomed and compared with the antibiotic sensitivity test. A total of 43 strains of staphylococi from clinical specimens were used in this study. An antibiotic sensitivity test by the agar dilution method of NCCLS (The National Commitee for Clinical Laboratory Standard) was performed for the strains. Among them, 39 isolates were methicillin-resistant (MRS), and 4 isolates were methicillin-susceptible (MSS). With the exception for one strain (Staphylococcus cohnii, HRC2-4), all MRS strains amplified the expected 533 bp fragments of the mecA gene by PCR, However, one strain (Staphylococcus aureus, HSA1-10) that was classified as a sensitive strain by the antibiotic sensitivity test was mecA positive by PCR. All 35 methicillin-resistant Staphylococcus aureus (MRSA) strains were mecA positive, but overall, concordance between the results of the mecA PCR and antibiotic sensitivity test was 95.6%.