Test Overview
Test Methodology

PCR

Test Usage

The MRSA screen PCR assay is an automated qualitative in vitro diagnostic nucleic acid amplification test for the direct detection of methicillin-resistant Staphylococcus aureus (MRSA) DNA from nasal swabs in patients at risk for colonization. Active surveillance using molecular tests for rapid detection of MRSA is a proven strategy to reduce transmission in healthcare settings and prevent infection in vulnerable patients. Early identification of patients with MRSA nasal carriage can be part of an effective infection prevention program for MRSA.
Approximately 5% of patients in U.S. hospitals carry MRSA in their nose or on their skin. MRSA can cause severe problems including bacteremia, pneumonia, or surgical site infections. Nasal decolonization has been shown to decrease rates of MRSA infection for admitted patients.
https://umhealth.sharepoint.com/sites/Quality/Shared%20Documents/IPE/HA…

Reference Range *

No MRSA DNA detected

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Limitations

Screening determines the colonization status at a given time. Colonization may vary depending upon patient treatment (e.g., decolonization regime), patient status (e.g., transient MRSA colonization) or exposure to high-risk environments (e.g., contact with MRSA carrier and/or prolonged hospitalization). Colonization status should be monitored according to institutional policies.

Test Details
Days Set Up
Daily
Soft Order Code
MRSAP
Synonyms
    Laboratory
    Microbiology
    Section
    Microbiology
    Specimen Requirements
    Collection

    Nasal specimens should be collected according to the following:
    1. Moisten the swab(s) with two drops (approximately 50 μL) of sterile physiological saline or use dry.
    2. Carefully insert the swab(s) into the patient’s nostril (a swab tip should be inserted up to 2.5 cm [1 inch] from the edge of the nares).
    3. Roll the swab(s) along the mucosa inside the nostril 5 times.
    4. Insert the same swab(s) into the second nostril and repeat steps 2 and 3.
    5. Place the swab(s) in its transport tube.

    Normal Volume
    1 BD ESwab transport
    Minimum Volume
    1 BD ESwab transport
    Storage Temperature
    Room temp: Up to 48 hours
    Refrigerated: Up to 5 days
    Rejection Criteria
    Specimen >48 hours @ room temp
    Incorrect transport media
    Billing
    CPT Code
    87641
    Fee Code
    LA045
    LOINC
    90001-9
    NY State Approved
    No