@article{3004413, title = "Molecular typing of methicillin-resistant Staphylococcus aureus by pulsed-field gel electrophoresis: Comparison of results obtained in a multilaboratory effort using identical protocols and MRSA strains", author = "Chung, M. and De Lencastre, H. and Matthews, P. and Tomasz, A. and Adamsson, I. and Aires de Sousa, M. and Camou, T. and Cocuzza, C. and Corso, A. and Couto, I. and Dominguez, A. and Gniadkowski, M. and Goering, R. and Gomes, A. and Kikuchi, K. and Marchese, A. and Mato, R. and Melter, O. and Oliveira, D. and Sá-Leão, R. and Santos Sanches, I. and Santos Sanches, I. and Tassios, P.T. and Villari, P. and Multilaboratory Project Collaborators", journal = "Microbial Drug Resistance: Mechanism, Epidemiology, and Disease", year = "2009", volume = "6", number = "3", pages = "189-198", issn = "1076-6294, 1931-8448", doi = "10.1089/mdr.2000.6.189", keywords = "meticillin, article; DNA fingerprinting; esthetics; intermethod comparison; laboratory test; methicillin resistant Staphylococcus aureus; molecular dynamics; nonhuman; priority journal; pulsed field gel electrophoresis; reproducibility; strain difference, Bacterial Typing Techniques; Electrophoresis, Gel, Pulsed-Field; Humans; Laboratories; Methicillin Resistance; Microbiology; Reference Standards; Reproducibility of Results; Staphylococcal Infections; Staphylococcus aureus, Bacteria (microorganisms); methicillin resistant Staphylococcus aureus; Staphylococcus aureus", abstract = "Pulsed-field gel electrophoresis (PFGE) has become the gold standard of molecular methods in epidemiological investigations. In spite of its high resolving power, use of the method has been hampered by inadequate laboratory-to-laboratory reproducibility. In the project described here we have addressed this problem by organizing a multilaboratory effort in which the same bacterial strains (subtype variants of the Iberian and Brazilian methicillin-resistant Staphylococcus aureus-MRSA-clones) were analyzed by twenty Investigators in thirteen different laboratories according to an indentical protocol, which is reproduced here in detail. PFGE patterns obtained were analyzed at a central laboratory in order to identify specific technical problems that produced substandard macrorestriction patterns. The results including the specific technical problems and their most likely causes are described in this communication. Also listed are seven major epidemic clones of MRSA which have been characterized by molecular fingerprinting techniques and the prototypes of which have been deposited at the American Type Culture Collection, from where they will be available for interested investigators for the purpose of typing MRSA isolates. It is hoped that this communication will contribute to the improvement of the reproducibility and technical/aesthetic quality of PFGE analysis." }