Evaluation of a cefoxitin disk diffusion test for the routine detection of methicillin-resistant Staphylococcus aureus

被引:54
作者
Boubaker, IBB [1 ]
Ben Abbes, R [1 ]
Ben Abdallah, H [1 ]
Mamlouk, K [1 ]
Mahjoubi, F [1 ]
Kammoun, A [1 ]
Hammami, A [1 ]
Ben Redjeb, S [1 ]
机构
[1] Fac Med, Lab Resistance Antibiot, Tunis, Tunisia
关键词
cefoxitin disk test; mecA; MRSA; susceptibility testing; Staphylococcus aureus;
D O I
10.1111/j.1469-0691.2004.00919.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Two oxacillin disk methods were compared with a cefoxitin disk diffusion test for detection of methicillin-resistant Staphylococcus aureus (MRSA), with PCR for mecA as the reference method. When tested with 115 MRSA and 350 methicillin-susceptible S. aureus isolates, the cefoxitin disk test (specificity 100%, sensitivity 96.5%) was superior to the oxacillin disk methods (specificity 99.1%, sensitivity 90.4%). Testing with both oxacillin and cefoxitin disks would give better sensitivity (100%) than the cefoxitin test alone, but at the expense of specificity (99.1%). The cefoxitin disk test required no special test conditions and would improve the reliability of routine tests for detection of MRSA.
引用
收藏
页码:762 / 765
页数:4
相关论文
共 19 条
[1]   Evaluation of the Mastalex latex agglutination test for methicillin resistance in Staphylococcus aureus grown on different screening media [J].
Brown, DFJ ;
Walpole, E .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2001, 47 (02) :187-189
[2]   Evaluation of MRSA-screen, a simple anti-PBP 2a slide latex agglutination kit, for rapid detection of methicillin resistance in Staphylococcus aureus [J].
Cavassini, M ;
Wenger, A ;
Jaton, K ;
Blanc, DS ;
Bille, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 1999, 37 (05) :1591-1594
[3]   Evaluation of three techniques for detection of low-level methicillin-resistant Staphylococcus aureus (MRSA):: a disk diffusion method with cefoxitin and moxalactam, the Vitek 2 system, and the MRSA-screen latex agglutination test [J].
Felten, A ;
Grandry, B ;
Lagrange, PH ;
Casin, I .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (08) :2766-2771
[4]   COMPARISON OF CONVENTIONAL SUSCEPTIBILITY TESTS WITH DIRECT DETECTION OF PENICILLIN-BINDING PROTEIN-2A IN BORDERLINE OXACILLIN-RESISTANT STRAINS OF STAPHYLOCOCCUS-AUREUS [J].
GERBERDING, JL ;
MIICK, C ;
LIU, HH ;
CHAMBERS, HF .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (12) :2574-2579
[5]  
Hiramatsu K, 1998, AM J MED, V104, P7
[6]  
Louie L, 2000, J CLIN MICROBIOL, V38, P2170
[7]  
Merlino J, 2000, J CLIN MICROBIOL, V38, P2378
[8]   Staphylococcus aureus:: a new detection of intrinsic resistance by diffusion in agar medium. [J].
Mougeot, C ;
Guillaumat-Tailliet, J ;
Libert, JM .
PATHOLOGIE BIOLOGIE, 2001, 49 (03) :199-204
[9]   IDENTIFICATION OF METHICILLIN-RESISTANT STRAINS OF STAPHYLOCOCCI BY POLYMERASE CHAIN-REACTION [J].
MURAKAMI, K ;
MINAMIDE, W ;
WADA, K ;
NAKAMURA, E ;
TERAOKA, H ;
WATANABE, S .
JOURNAL OF CLINICAL MICROBIOLOGY, 1991, 29 (10) :2240-2244
[10]   Comparison of several methods to determine methicillin-resistance in Staphylococcus aureus with focus on borderline strains [J].
Nicola, F ;
Bantar, C ;
Canigia, LF ;
Relloso, S ;
Bianchini, H ;
Smayevsky, J .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2000, 36 (02) :91-93