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Journal of Clinical Microbiology, July 2000, p. 2516-2519, Vol. 38, No. 7
Hospital Infections
Program1 and Scientific Resources
Program,2 Centers for Disease Control and
Prevention, Atlanta, Georgia 30333
Received 27 January 2000/Returned for modification 24 March
2000/Accepted 15 April 2000
In an effort to find a rapid, efficient, and reliable method of
screening large numbers of bacterial isolates for specific antimicrobial resistance genes, we compared conventional PCR results to
the results generated using the TaqMan 5' nuclease PCR kit in
conjunction with an ABI Prism 7700 Sequence Detector for detecting the
mecA gene in various species of staphylococci. DNA was
extracted using two techniques. The first used a high-salt extraction
method suitable for conventional PCR but resulted in a 7.2% rate of
PCR inhibition with the TaqMan technique. PCR inhibition could be overcome by diluting samples 1:5 prior to testing. The second method
used the Qiagen QIAamp Tissue Kit; no instances of PCR inhibition were
encountered with this method. A total of 197 (96%) of the 206 samples
with no inhibition showed agreement between the two methods. Eight of
the nine disagreements were likely the result of low-level DNA cross
contamination caused by frequent specimen handling. Target DNA in all
eight of these samples was first detected in the initial tests only
after >30 PCR cycles, and all were negative upon repeat testing even
after 40 PCR cycles using freshly extracted DNA. Among those positive
samples in agreement, target DNA was invariably detected before 30 PCR
cycles. The TaqMan assay eliminated the need to load, run, stain, and
read agarose gels and provided the advantage of instant detection of
PCR product by laser-activated fluorescence. Thus, final results were
obtained 2 h after PCR was initiated, as opposed to a requirement
of 2 days to examine 96 samples by agarose gel electrophoresis.
0095-1137/00/$04.00+0
A 5' Nuclease PCR (TaqMan) High-Throughput Assay
for Detection of the mecA Gene in Staphylococci
*
Corresponding author. Mailing address: Hospital
Infections Program (G08), Centers for Disease Control and Prevention,
1600 Clifton Rd., Atlanta, GA 30333. Phone: (404) 639-0192. Fax: (404) 639-1381. E-mail: gek1{at}cdc.gov.
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