Abstract
Objectives: To evaluate the usefulness of cefoxitin when used as a surrogate marker for the detection of methicillin resistance. Patients and methods: Eight hundred and seventy-one strains of Staphylococcus aureus, collected from eight tertiary referral centres serving diverse socio-economic populations, were included in the study using NCCLS disc diffusion and the agar dilution methods. Results: Using cefoxitin and NCCLS criteria for disc diffusion, the sensitivity and specificity for recognizing methicillin resistance were both 100%. Similar results were obtained when the strains were tested by the agar dilution method. The cefoxitin MICs for methicillin-susceptible strains were ≤ 4 mg/L. Conclusions: Testing with cefoxitin as a surrogate marker for the detection of methicillin resistance was very accurate with both disc diffusion and agar dilution methods. Such testing clearly distinguished methicillin-resistant strains of S. aureus from methicillin-susceptible strains.
| Original language | English |
|---|---|
| Pages (from-to) | 506-510 |
| Number of pages | 5 |
| Journal | Journal of Antimicrobial Chemotherapy |
| Volume | 55 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2005 |
| Externally published | Yes |
Keywords
- Community-onset MRSA infections
- Hospital-acquired infections
- Non-multiresistant staphylococcus aureus
- Oxacillin resistance