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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access Poster presentation

Use of the multiple-locus variable-number tandem repeat fingerprinting method and microfluidic chips for rapid genotyping of Staphylococcus aureus isolates

AJ Sabat*, M Chlebowicz, H Grundmann, W Postma, W Baas, J Arends, G Kampinga, N Meessen, AW Friedrich and JM van Dijl

  • * Corresponding author: AJ Sabat

Author Affiliations

Medical Microbiology, University Medical Center Groningen, Groningen, Netherlands

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BMC Proceedings 2011, 5(Suppl 6):P177  doi:10.1186/1753-6561-5-S6-P177


The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/5/S6/P177


Published:29 June 2011

© 2011 Sabat et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Introduction / objectives

The early detection of outbreaks of methicillin-resistant Staphylococcus aureus (MRSA) and a rapid and accurate identification of sources and routes of transmission are important objectives in hospital settings. In this study we investigated the application potential of Multiple-Locus Variable number tandem repeat Fingerprinting (MLVF) combined with microfluidic technology for a rapid discrimination of MRSA lineages in outbreak settings.

Methods

A total of 206 non-repetitive MRSA isolates recovered from infected patients at the University Medical Center Groningen between 2000 and 2010 were tested. The results obtained by MLVF using microcapillary electrophoresis were compared to those obtained by spa typing and Multiple-Locus Variable number tandem repeat Analysis (MLVA).

Results

The discriminatory power was 0.98 (107 patterns), 0.969 (85 allelic profiles) and 0.959 (66 types) for MLVF, MLVA and spa typing, respectively. Isolates defined as identical by MLVF were almost always (99%) indistinguishable by spa typing. All methods tested showed a high concordance of results calculated by adjusted Rand's coefficients. Of the three tested methods, MLVF is the cheapest, fastest and easiest to perform.

Conclusion

MLVF applied to microfluidic polymer chips is a rapid, cheap, reproducible and highly discriminating tool to determine the clonality of MRSA isolates, and to trace the spread of MRSA strains over periods of many years. Although spa typing should be used due to its portability of data, MLVF has a high added-value because it is more discriminatory.

Disclosure of interest

None declared.