Culture harder: use more specimens to increase methicillin-resistant Staphylococcus aureus culture yield relative to PCR

Access Microbiol. 2025 Jun 3;7(6):000918.v4. doi: 10.1099/acmi.0.000918.v4. eCollection 2025.

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) causes considerable morbidity and mortality in both community-acquired and healthcare-associated infections, but detecting colonization with MRSA has been shown to improve patient outcomes in certain clinical settings. MRSA colonization detection has been carried out in a variety of ways, with molecular assays having superior sensitivity in most studies relative to culture, but culture is disadvantaged in some comparisons by utilization of low specimen volumes. We compared a commercial molecular assay to both low-volume (10 µl) and high-volume (650 µl) cultures and found that increasing the volume utilized for culture led to the detection of 25% more cases than low-volume culture.

Keywords: PCR; culture; methicillin-resistant Staphylococcus aureus (MRSA) screening.