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Journal of Clinical Microbiology, September 2003, p. 4089-4094, Vol. 41, No. 9
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.9.4089-4094.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Multiplex PCR Assay for Simultaneous Detection of Nine Clinically Relevant Antibiotic Resistance Genes in Staphylococcus aureus

Birgit Strommenger, Christiane Kettlitz, Guido Werner, and Wolfgang Witte*

Robert Koch Institute, Wernigerode Branch, D-38855 Wernigerode, Germany

Received 11 March 2003/ Returned for modification 15 May 2003/ Accepted 2 June 2003

In this study we describe a multiplex PCR assay for the detection of nine clinically relevant antibiotic resistance genes of Staphylococcus aureus. Conditions were optimized to amplify fragments of mecA (encoding methicillin resistance), aacA-aphD (aminoglycoside resistance), tetK, tetM (tetracycline resistance), erm(A), erm(C) (macrolide-lincosamide-streptogramin B resistance), vat(A), vat(B), and vat(C) (streptogramin A resistance) simultaneously in one PCR amplification. An additional primer pair for the amplification of a fragment of the staphylococcal 16S rDNA was included as a positive control. The multiplex PCR assay was evaluated on 30 different S. aureus isolates, and the PCR results correlated with the phenotypic antibiotic resistance data obtained by the broth microdilution assay. The multiplex PCR assay offers a rapid, simple, and accurate identification of antibiotic resistance profiles and could be used in clinical diagnosis as well as for the surveillance of the spread of antibiotic resistance determinants in epidemiological studies.

* Corresponding author. Mailing address: Robert Koch Institute, Wernigerode Branch, Burgstr. 37, D-38855 Wernigerode, Germany. Phone: 0049/3943/679246. Fax: 0049/3943/679317. E-mail: wittew{at}rki.de.

Journal of Clinical Microbiology, September 2003, p. 4089-4094, Vol. 41, No. 9
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.9.4089-4094.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.



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