Test Overview
Test Methodology

PCR

Test Usage

Staphylococcus aureus is a major cause of nosocomial infections such as bloodstream infections and surgical site infections with clinical manifestations ranging from pustules to sepsis and death. It is commonly found in the nose or on the skin of healthy individuals (asymptomatic carriers). Methicillin-resistant strains of Staphylococcus aureus are frequently encountered in healthcare settings, and represent nearly 60% of isolates from hospital-acquired Staphylococcus aureus in some North American and European healthcare facilities. In hospital settings, MRSA may be transmitted from patient to patient through the contaminated hands of healthcare workers. Risk factors for colonization with MRSA in healthcare settings include prolonged hospital stay, proximity to patients infected with MRSA, exposure to multiple and prolonged broad-spectrum antibiotic treatments, and MRSA carriage. MRSA infection is increased in patients colonized with MRSA.
Screening for Staphylococcus aureus, especially methicillin-resistant strains (MRSA), is crucial for preventing infections in healthcare settings by identifying carriers and implementing targeted interventions like decolonization or isolation.

Reference Range *

No Staphylococcus aureus DNA detected.
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 SA/MRSA colonization) or exposure to high-risk environments (e.g., contact with SA/MRSA carrier and/or prolonged hospitalization). Colonization status should be monitored according to institutional policies.

Test Details
Days Set Up
Daily
Soft Order Code
STSNP
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 ESwab transport
    Minimum Volume
    1 ESwab transport
    Storage Temperature
    Room temp: Up to 48 hours
    Refrigerated: Up to 5 days
    Rejection Criteria
    Specimen >48 hours @ room temp
    Incorrect specimen transport
    Billing
    CPT Code
    87640, 87641
    Fee Code
    LA046, LA045
    LOINC
    90001-9, 92701-2
    NY State Approved
    No