耐甲氧西林金黄色葡萄球菌的核酸等温扩增方法研究进展

    Research Progress on Nucleic Acids Isothermal Amplification Methods for Methicillin-Resistant Staphylococcus aureus

    • 摘要: 耐甲氧西林金黄色葡萄球菌(MRSA)因高耐药性和高致死率成为医院与社区感染的重要病原。基于PCR检测mecA基因被认为是检测MRSA的“金标准”,然而该方法无法摆脱对精密控温仪器的依赖,难以满足现场检测的需求。与传统的PCR扩增不同,核酸等温扩增能够在恒定温度下进行反应,极大地简化了操作过程,适用于临床快速检测、病房床头诊断、社区基层医疗、现场流行病学调查等多种应用场景。近年来,环介导的等温扩增、重组酶聚合酶扩增和滚环扩增等核酸等温扩增方法被开发用于检测MRSA。对其进行综述,为MRSA的现场检测提供参考。

       

      Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) has become an important pathogen in nosocomial and community infections due to its high drug resistance and high mortality rate. PCR-based detection of the mecA gene is considered the "gold standard" for detecting MRSA; however, this method relies on precision temperature control instruments and is difficult to meet the needs of on-site detection. Unlike traditional PCR amplification, nucleic acid isothermal amplification occurs at a constant temperature, greatly simplifying the operation process and making it suitable for various application scenarios such as clinical rapid detection, bedside diagnosis, community primary care, and on-site epidemiological investigations. In recent years, nucleic acid isothermal amplification methods such as loop-mediated isothermal amplification (LAMP), recombinase polymerase amplification (RPA), and rolling circle amplification (RCA) have been developed for the detection of MRSA. This article reviews these methods and provides a reference for the on-site detection of MRSA.

       

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