Table 5: Identification of MRSA using different automated MRSA RT-PCR systems.

Method Gene Genus Specimen Sensitivity Specificity Time Reference
ChromID MRSA mecA MRSA Nasal swabs 100% 87.0% NA [84]
BD GeneOhm
(IDI-MRSA)
Junction of SCCmec and orfX MRSA swabs 95.7%, 78.7%, 84.3%, 93.3%, 92%, 91.7%, 96%, 100% 91.7%, 96.9%, 99.2% ,95.2%, 98%, 93.5%, 96%, 98.6% 5-6min per sample, or 1.5 h [40, 41, 61, 62, 81, 82, 87, 90]
real-time PCR analyte-specific reagent (ASR) assay MRSA nasal swabs 100% 92% < 2 hours [85]
the GenomEra™ MRSA/SA mecA and conserved genomic S. aureus sequence (SA) MRSA blood culture 100.0%, 99.8 % within 1 h [63]
Xpert MRSA SCCmec, spa, mecA MRSA swabs 99%, 100%, 95%, 78.3%, 90%, 89.3% 94.3% 86.3% 95.5%, 90.7%, 97%, 97.7%, 97%, 97.9% 93.2% 94.9% <1 h; 1.9 h-2.6 h; or 2.35min per sample, PCR cycling time of ≤72 min [53, 55, 56, 59, 60, 65, 86]
Xpert MRSA SCCmec MRSA BC specimens 75% 100% 1.5 h [54]
Xpert MRSA spa, mecA, SCCmec MRSA, lower respiratory tract secretions 99.0% 72.2% <1 h [58]
Xpert MRSA spa, mecA, junction of SCCmec and orfX MRSA Bone and joint infection 94.4% 100% < 1 h [57]
LightCycler Test SCCmec/orfX, mecA,
SCCmecintegration site
MRSA swabs 95.7%, 88%, 83.3%, 95.2%, 100%, 95.2% 90.8%, 95.9%, 99.0%, 95.5%, 90.1%, 96.4% 1.40/4.74min per sample [64, 65, 85, 89, 90]
LightCycler Test fragment of mecA and fragment of Sa442 MRSA clinical isolates NA NA within 4 h [83]
LightCycler Test mecA MRSA blood culture 100% 100% NA [88]
duplex LightCycler PCR mecA, sa442 MRSA clinical isolates and type strains 100% 100% 70 min [91]
real-time fluorescence PCR with the LightCycler device sa442 and a 98-bp fragment MRSA blood cultures 100% 100% 2 h [39]
IsoAmp RapidStaph Detection kit nuc, mecA MRSA blood culture 100% 100% <1.5 h [67]