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Journal of Clinical Microbiology, June 1999, p. 2047-2050, Vol. 37, No. 6
Clinical Microbiology Laboratory,
Received 29 September 1998/Returned for modification 11 December
1998/Accepted 25 February 1999
A separation between mecA+ strains of
Staphylococcus aureus and strains lacking mecA
was achieved by the disk diffusion assay and the agar dilution method,
utilizing disks containing 5 µg of oxacillin and inocula of
approximately 5 × 105 CFU/spot, respectively,
provided that agar with 0 to 0.5% NaCl and incubation at 30°C were
employed. The 5-µg oxacillin disks clearly discriminated between
borderline methicillin-susceptible and mecA+
strains. The oxacillin MICs were more affected by the inoculum density
and salt concentration than were the methicillin MICs, and oxacillin
MICs of 4 to 16 µg/ml were obtained for strains lacking
mecA. Significantly higher levels of
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Disk with High Oxacillin Content Discriminates between
Methicillin-Resistant and Borderline Methicillin-Susceptible
Staphylococcus aureus Strains in Disk Diffusion Assays
Using a Low Salt Concentration
-lactamase
production and reduced oxacillin susceptibilities were recorded for
strains lacking mecA, in particular strains of phage group
V, when agar with
2% NaCl was used than when agar with 0 to 0.5%
NaCl was employed. The results indicate that the borderline
methicillin-susceptible phenotype is a salt-dependent in vitro
phenomenon of questionable clinical relevance.
*
Corresponding author. Mailing address: Clinical
Microbiology Laboratory, Sölvegatan 23, S-223 62 Lund, Sweden.
Phone: 46 46 173250. Fax: 46 46 189117. E-mail:
Ann-Cathrine.Petersson{at}skane.se.
Journal of Clinical Microbiology, June 1999, p. 2047-2050, Vol. 37, No. 6
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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