Methicillin-Resistant Staphylococcus aureus / Methicillin-Susceptible Staphylococcus aureus Colonization Screening Culture

CPT: 87081
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Test Details

Synonyms

  • MRSA/MSSA

Test Includes

Culture for isolation of Staphylococcus aureus and drug susceptibility testing (additional charge)

Use

Screen for methicillin-resistant Staphylococcus aureus (MRSA) and/or methicillin-susceptible Staphylococcus aureus (MSSA) colonization of patients prior to surgery, or staff in health care settings

Limitations

This test is not intended to establish diagnosis of MRSA/MSSA infection.

Methodology

Conventional culture

Specimen Requirements

Specimen

Nasal (preferred) or other site swab

Volume

One swab

Container

Bacterial culture transport swab with media

Collection

Nares:

Insert swab into one anterior naris. Apply slight pressure to the nostril and rotate swab to sample the inside surface. Insert the same swab into the other naris and repeat. Place swab into swab transport tube.

Other Sites:

Collect as appropriate using the bacterial culture swab transport.

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Specimen received without proper identification; inappropriate specimen transport device; unlabeled specimen or name discrepancy between request label; specimen received after prolonged delay (usually more than 72 hours); expired transport device

Clinical Information

Special Instructions

This test is intended for screening for MRSA/MSSA colonization only and is not intended to diagnose MRSA/MSSA infection. For culture and isolation of other potential pathogens, an Upper Respiratory Culture [008342] or other test appropriate for specimen source should be ordered.

References

Baron E. The Detection, Significance, and Rational for Control of Methicillin-resistant Staphylococcus aureus, Clinical Microbiology Newsletter, Vol. 14, No. 17, New York, NY: Elsevier Science Publishing Co, 1992.
Edmiston CE Jr, Ledeboer NA, Buchan BW, Spencer M, Seabrook GR, Leaper D. Is Staphylococcal Screening and Suppression an Effective Interventional Strategy for Reduction of Surgical Site Infection? Surgical Infections. 2016 Apr;17(2):158-166.26836053
Murray PR, Baron EJ, Jorgensen JH, et al. Manual of Clinical Microbiology, 9th ed., Washington, DC: ASM Press, 2007.
Remel Spectra MRSA [package insert]. Lenexa, KS: Revised April 16, 2013.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
183074 MRSA MSSA Screening Culture 52969-3 183074 MRSA MSSA Screening Culture 52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183076 Result 1 52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183077 Result 2 52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183097 Result 3 52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183098 Result 4 52969-3
Reflex Table for MRSA MSSA Screening Culture
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 183075 Result 183099 Antimicrobial Susceptibility 23658-8

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