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MRSA Test System - Greiner Bio-One

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<strong>MRSA</strong> ?<br />

= 75min<br />

GENSPEED ®<br />

<strong>Test</strong> <strong>System</strong><br />

<strong>MRSA</strong><br />

Setting the pace - Precise<br />

<strong>MRSA</strong> results within 75 minutes<br />

in cooperation with Amplex Diagnostics<br />

www.gbo.com


2<br />

GENSPEED ®<br />

Setting the pace!<br />

The new, revolutionary GENSPEED ®<br />

<strong>MRSA</strong> <strong>Test</strong><br />

<strong>System</strong> from <strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> is an in vitro diagnostic<br />

tool for qualitative detection of methicillin resistant<br />

staphylococcus aureus (<strong>MRSA</strong>) in human nasal and<br />

pharyngeal smears.<br />

This bacterium is recognized worldwide as the most<br />

significant cause of nosocomial infections.<br />

<strong>MRSA</strong> <strong>Test</strong> <strong>System</strong><br />

GENSPEED ®<br />

<strong>MRSA</strong> was developed as a time<br />

and cost saving rapid test for low throughput testing<br />

applications in hospitals and laboratories.<br />

The main advantage of the product lies in the<br />

acceleration of the analysis, providing reliable results<br />

within merely 75 minutes.<br />

GENSPEED ®<br />

<strong>MRSA</strong> was developed in cooperation with Amplex Diagnostics, our partner with years of<br />

expertise in developing tests for detecting nosocomial infections.


Sensitivity owing to PCR technology, combined with the speed<br />

and specificity of the GENSPEED ®<br />

<strong>Test</strong> <strong>System</strong><br />

- ready to use with a short turnaround time!<br />

Whith an average 7-day prolongation and additional<br />

expenses of 1,600.- Euro per patient / day, the<br />

question is no longer whether an <strong>MRSA</strong> screening<br />

should be carried out nor not, but rather, which test<br />

system should be used.<br />

Conventional culture for <strong>MRSA</strong> analysis takes up to 48<br />

hours, leading to additional care and treatment costs<br />

for the necessary quarantine days.<br />

Other molecular biological systems have been<br />

developed for high throughput application. Since due<br />

3. Detection & Reporting<br />

2. Denaturation &<br />

Hybridization<br />

65 Min<br />

69 Min<br />

2.<br />

3.<br />

75 Min<br />

to economic reasons it is often necessary to wait for a<br />

certain number of patient samples before testing, the<br />

results for one patient are often not available until the<br />

next day.<br />

The GENSPEED ®<br />

<strong>MRSA</strong> <strong>Test</strong> <strong>System</strong><br />

is particulary suitable for low throughput<br />

applications with a turnaround time (TAT)<br />

of only 75 minutes!<br />

Precise <strong>MRSA</strong> results within 75 minutes<br />

1.<br />

1. Lysis & DNA amplification<br />

www.gbo.com<br />

3


The advantages of the new GENSPEED ®<br />

4<br />

Fast turnaround time (TAT)<br />

Speed<br />

<strong>MRSA</strong> <strong>Test</strong> <strong>System</strong><br />

The speed of the test speaks for itself. With only 75 minutes from sample collection to result,<br />

GENSPEED ®<br />

<strong>MRSA</strong> is among the fastest test systems on the market.<br />

Individual sample analysis at any time<br />

Each sample can be analyzed immediately. No batching required.<br />

Unique detection of the new resistance gene mecC<br />

GENSPEED ®<br />

Differential diagnostics<br />

<strong>MRSA</strong> is the first test system in the world for the detection of mecC.<br />

Preliminary studies have demanded new detection<br />

methods for mecC, to ensure identification<br />

of <strong>MRSA</strong> in the future. [2,3,4,5,6]<br />

GENSPEED ®<br />

<strong>MRSA</strong> distinguishes <strong>MRSA</strong> from MRSE<br />

or mecA/C positive S.haemolyticus using its ability to<br />

simultaneously detect multiple analytes (multiplexing).<br />

High degree of accuracy<br />

Three controls (Negative control, PCR<br />

control, and implementation control)<br />

ensure the accuracy of the<br />

results.<br />

<strong>One</strong> swab for everything<br />

<strong>One</strong> and the same swab for<br />

GENSPEED ®<br />

<strong>MRSA</strong> and<br />

bacterial culture.


The resistance behaviour to methicillin is encoded<br />

by the Staphylococcus Cassette Chromosome mec<br />

(SCCmec). [7]<br />

So-called “Empty Cassette Variants” are a problem for<br />

many <strong>MRSA</strong> test systems on the market. These are<br />

S.aureus strains whose gene cassette does not contain<br />

the resistance gene mecA (deletion) therefore they<br />

are sensitive to methicillin (treatment with antibiotics<br />

possible). <strong>Test</strong> systems which target the cassette as an<br />

entity, disregard the mecA gene and yield false positive<br />

results.<br />

Technical advantages at a glance<br />

Easy handling<br />

Objective results<br />

Optional interfacing<br />

with your LIMS*<br />

No false positive results due to “Empty Cassette Variants”<br />

and no false negative results due to the neglect<br />

of the new resistance gene mecC<br />

Moreover, in 2011 the new gene variant mecC was<br />

discovered in England and has since then been detected<br />

in six more countries: DE, DK, FR, IE, NL, PT. [2]<br />

Although the examined strains show phenotypical<br />

methicillin resistance, it could not be detected with PCR<br />

tests currently on the market. [3,4,5,8]<br />

GENSPEED ®<br />

<strong>MRSA</strong> is the first commercially available<br />

test, which detects both methicillin resistance genes –<br />

mecA and mecC.<br />

Electronic evaluation of measurement data guarantees objective results.<br />

The test system can be individually connected to your LIMS* if needed.<br />

* laboratory information management system<br />

www.gbo.com<br />

5


Components of the GENSPEED ®<br />

<strong>MRSA</strong> <strong>Test</strong> <strong>System</strong><br />

The GENSPEED ®<br />

Reader<br />

6<br />

The GENSPEED ®<br />

<strong>MRSA</strong> <strong>Test</strong>-Chip<br />

• facilitates rapid testing by special microfluidics<br />

for accelerated hybridization<br />

• contains DNA probes for<br />

• S.aureus<br />

• S.epidermidis/haemolyticus<br />

• the resistance genes mecA and mecC<br />

In order to offer optimal ease of use, the Reader features:<br />

• power supply and control via USB<br />

• an integrated calibrator<br />

• an integrated barcode module for<br />

identifying the <strong>Test</strong>-Chip<br />

• patented optoelectronics for<br />

highly sensitive detection<br />

as well as three on-chip controls to assure the <strong>MRSA</strong> test results.<br />

* The PCR-Cycler<br />

Accessories<br />

The Notebook with integrated<br />

GENSPEED ®<br />

Report Software<br />

• controls the GENSPEED ®<br />

Reader<br />

• offers intuitive user guidance through<br />

test procedure<br />

• analyses measurement data<br />

• creates individualised reports<br />

• allows optional connection to the LIMS<br />

• 2 fixed volume pipettes<br />

• 2 tube racks<br />

• 1 box GBO filter tips<br />

Swabs are not provided by <strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> as a system component.<br />

We recommend “108C Amies Agar Gel - Single plastic swab - blue cap”<br />

These swabs can be used additionally after PCR for bacterial culture.<br />

www.copaninnovation.com.<br />

*<br />

* symbolic photo


Full Speed - just a view steps to a reliable test result<br />

DNA amplification<br />

1<br />

After successful sample<br />

collection by means of nasal<br />

or pharyngeal swab, the DNA<br />

is released from the cells and<br />

amplified for the subsequent<br />

detection via PCR.<br />

Item Nº Description Packaging<br />

453200 GENSPEED ®<br />

<strong>MRSA</strong> <strong>Test</strong>-Kit 48 rxn.<br />

References<br />

GENSPEED ®<br />

(1) Medizinische Wirksamkeit und Kosten-Effektivität von Präventions- und Kontrollmaßnahmen gegen Methicillin-resistente Staphylococcus aureus (<strong>MRSA</strong>) –<br />

Infektionen im Krankenhaus, HTA Bericht 100; DIMDI (Deutsches Institut für Medizinische Dokumentation und Information)<br />

(2) November 2011 EURL course DTU Food, Technical University of Denmark (EURL=European Union Reference Laboratory) - Antimicrobial Resistance National Food<br />

Institute<br />

(3) Holmes MA, Zadoks RN. Methicillin Resistant S.aureus in Human and Bovine Mastitis. J Mammary Gland <strong>Bio</strong>l Neoplasia. 2011 Oct 8. [Epub ahead of print]<br />

(4) García-Álvarez L, Holden MT, Lindsay H, Webb CR, Brown DF, Curran MD, Walpole E, Brooks K, Pickard DJ, Teale C, Parkhill J, Bentley SD, Edwards GF, Girvan<br />

EK, Kearns AM, Pichon B, Hill RL, Larsen AR, Skov RL, Peacock SJ, Maskell DJ, Holmes MA. Meticillin-resistant Staphylococcus aureus with a novel mecA<br />

homologue in human and bovine populations in the UK and Denmark: a descriptive study. Lancet Infect Dis. 2011 Aug;11(8):595-603.<br />

(5) Shore AC, Deasy EC, Slickers P, Brennan G, O‘Connell B, Monecke S, Ehricht R, Coleman DC. Detection of staphylococcal cassette chromosome mec type XI<br />

carrying highly divergent mecA, mecI, mecR1, blaZ, and ccr genes in human clinical isolates of clonal complex 130 methicillin-resistant Staphylococcus aureus.<br />

Antimicrob Agents Chemother. 2011 Aug;55(8):3765-73.<br />

(6) The Lancet Infectious Diseases, Volume 11, Issue 8, Pages 595 - 603, August 2011 Background<br />

(7) http://www.fennerlabor.de/uploads/media/<strong>MRSA</strong>.pdf<br />

Hybridization<br />

Article Overview GENSPEED ®<br />

<strong>MRSA</strong> <strong>Test</strong> <strong>System</strong><br />

2<br />

The PCR products are then<br />

denatured and pipetted into<br />

the <strong>Test</strong>-Chip inlet, where<br />

hybridization takes place.<br />

(Binding of the labelled DNA to the<br />

complementary probes in the <strong>Test</strong>-Chip)<br />

<strong>MRSA</strong> Starter Package<br />

Detection & Reporting<br />

The detection takes place via<br />

optoelectronic readout of a<br />

biochemical light reaction in the<br />

GENSPEED ®<br />

Reader.<br />

The GENSPEED ®<br />

Report<br />

Software analyses the data and<br />

generates the test report.<br />

453201 GENSPEED ®<br />

Reader 1 pc.<br />

453203 PCR-Cycler 1 pc.<br />

453204 Notebook (including GENSPEED ®<br />

Report Software) 1 pc.<br />

453205 Accessories 1 pc.<br />

(8) Cuny C, Layer F, Strommenger B, Witte W. Rare Occurrence of methicillin-Resistant Staphylococcus aureus CC130 with a novel mecA homologue in humans in<br />

Germany, PLoS <strong>One</strong>. 2011;6(9):e24360<br />

3<br />

www.gbo.com<br />

7


For further information, please visit our website www.gbo.com or contact us:<br />

Austria (Main Office)<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> GmbH<br />

Phone (+43) 75 83 67 91-0<br />

Fax (+43) 75 83 63 18<br />

E-Mail office@at.gbo.com<br />

Austria<br />

Lambda GmbH<br />

Phone (+43) 7949 2090 3000<br />

Fax (+43) 7949 2090 3001<br />

Brazil<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> Brasil<br />

Phone (+55) 19 34 68 96 00<br />

Fax (+55) 19 34 68 96 21<br />

E-Mail office@br.gbo.com<br />

China<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> Suns Co., Ltd.<br />

Phone (+86) 10 83 55 19 91<br />

Fax (+86) 10 63 56 69 00<br />

E-Mail office@cn.gbo.com<br />

Egypt<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> Middle East<br />

Phone (+20) 26 21 87 06<br />

Fax (+20) 26 21 87 08<br />

E-Mail hisham.ouda@gbo.com<br />

France<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> SAS<br />

Phone (+33) 1 69 86 25 50<br />

Fax (+33) 1 69 86 25 36<br />

E-Mail office@fr.gbo.com<br />

Hungary<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> Hungary Kft.<br />

Phone (+36) 96 21 30 88<br />

Fax (+36) 96 21 31 98<br />

E-Mail office@hu.gbo.com<br />

India<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> India Pvt. Ltd.<br />

Phone (+91) 120 456 8787<br />

Fax (+91) 120 456 8788<br />

E-Mail info@gboindia.com<br />

<strong>MRSA</strong> ?<br />

Netherlands<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> B.V.<br />

Phone (+31) 1 72 42 09 00<br />

Fax (+31) 1 72 44 38 01<br />

E-Mail info@nl.gbo.com<br />

Spain<br />

VACUETTE Espana S.A.<br />

Phone (+34) 91 652 77 07<br />

Fax (+34) 91 652 33 35<br />

E-Mail info@vacuette.es<br />

Switzerland<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> VACUETTE<br />

Schweiz GmbH<br />

Phone (+41) 7 12 28 55 22<br />

Fax (+41) 7 12 28 55 21<br />

E-Mail office@ch.gbo.com<br />

Thailand<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> Thailand Ltd<br />

Phone (+66) 3 84 65 63-30<br />

Fax (+66) 3 84 65 63-6<br />

E-Mail office@th.gbo.com<br />

= 75min<br />

United Kingdom<br />

<strong>Greiner</strong> <strong>Bio</strong>-<strong>One</strong> Ltd.<br />

Phone (+44) 14 53 82 52 55<br />

Fax (+44) 14 53 82 62 66<br />

E-Mail info@uk.gbo.com<br />

Distribution in the following countries is<br />

carried out by Amplex <strong>Bio</strong>systems:<br />

DE, IT, BE, PT, SI, TR, GR<br />

E-Mail office@lambda.at Amplex <strong>Bio</strong><strong>System</strong>s GmbH<br />

Phone (+49) 8073 916 93 50<br />

Fax (+49) 8073 916 93 55<br />

E-Mail info@amplexbiosystems.de<br />

980286 rev.01, 07.2012 e

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