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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.

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

Ann Cathrine Petersson,1,2,* Carl Kamme,1,2 and Håkan Miörner2

Clinical Microbiology Laboratory, University Hospital,1 and Department of Infectious Diseases and Medical Microbiology, University of Lund,2 Lund, Sweden

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 beta -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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