Source:http://linkedlifedata.com/resource/pubmed/id/15160300
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2004-5-25
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pubmed:abstractText |
Detection of oxacillin resistance in coagulase-negative staphylococci (C-NS) by phenotypic methods is often difficult. The present study compared the National Committee for Clinical Laboratory Standards (NCCLS) revised guidelines of phenotypic methods with a mecA-based polymerase chain reaction (PCR) for C-NS. Ninety clinical C-NS isolates were tested for oxacillin resistance by disk diffusion (1-microg disk), minimum inhibitory concentration (MIC) breakpoint (0.5 microg/ml) after 24 h, and mecA-based PCR. The sensitivity and specificity of disk diffusion was 80% and 93%, and the sensitivity and specificity of the MIC breakpoint after 24 h was 84% and 91%, respectively, against PCR as gold standard. Eleven strains (7 mecA-positive and 4 mecA-negative) showed discordant results between MIC breakpoint after 24 h and PCR. Six of the 7 mecA-positive and all 4 mecA-negative discordant strains had inducible oxacillin resistance and beta-lactamase hyperproduction, respectively. The present study concludes that inducible oxacillin resistance and beta-lactamase hyperproduction are the major causes of discordant results between phenotypic methods and mecA-based PCR, and need special attention.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1341-321X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
86-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15160300-Anti-Bacterial Agents,
pubmed-meshheading:15160300-Coagulase,
pubmed-meshheading:15160300-Humans,
pubmed-meshheading:15160300-Methicillin Resistance,
pubmed-meshheading:15160300-Microbial Sensitivity Tests,
pubmed-meshheading:15160300-Muramoylpentapeptide Carboxypeptidase,
pubmed-meshheading:15160300-Oxacillin,
pubmed-meshheading:15160300-Phenotype,
pubmed-meshheading:15160300-Polymerase Chain Reaction,
pubmed-meshheading:15160300-Sensitivity and Specificity,
pubmed-meshheading:15160300-Staphylococcal Infections,
pubmed-meshheading:15160300-Staphylococcus
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pubmed:year |
2004
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pubmed:articleTitle |
A comparative evaluation of phenotypic and molecular methods for the detection of oxacillin resistance in coagulase-negative staphylococci.
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pubmed:affiliation |
Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226 014, India.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Evaluation Studies
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