Comparison of five methods for oxacillin susceptibility testing of Staphylococcus aureus isolates from cystic fibrosis patients

Autor: Marcelo J. Mimica, Rozane L. Carvalho, Eitan N. Berezin, Neiva Damaceno, Hélio H. Caiaffa-Filho
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Revista do Instituto de Medicina Tropical de São Paulo, Vol 54, Iss 6, Pp 305-306 (2012)
Druh dokumentu: article
ISSN: 1678-9946
0036-4665
DOI: 10.1590/S0036-46652012000600002
Popis: Methicillin-resistant Staphylococcus aureus (MRSA) are now a worldwide problem. Cystic fibrosis (CF) patients are commonly colonized and infected by MRSA. Accurate oxacillin susceptibility testing is mandatory for the adequate management of these patients. We performed a comparison of the accuracy of different tests in CF isolates, including methicillin-susceptible S. aureus and MRSA with different SCCmec types, and using the mecA gene as the gold-standard. The sensitivity and specificity of oxacillin disc, Etest, and oxacillin agar screening plate were 100%. Sensitivity of the cefoxitin disc was 85% and specificity was 100%. For clinically relevant isolates, laboratories may consider the use of a combination of two phenotypic methods.
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