Correlation of cefoxitin MICs with the presence of mecA in Staphylococcus spp

J Clin Microbiol. 2009 Jun;47(6):1902-5. doi: 10.1128/JCM.02304-08. Epub 2009 Apr 8.

Abstract

This report describes the results of an 11-laboratory study to determine if a cefoxitin broth microdilution MIC test could predict the presence of mecA in staphylococci. Using breakpoints of < or = 4 microg/ml for mecA-negative and > or = 6 or 8 microg/ml for mecA-positive isolates, sensitivity and specificity based on mecA or presumed mecA for Staphylococcus aureus at 18 h of incubation were 99.7 to 100% in three cation-adjusted Mueller-Hinton broths tested. For coagulase-negative strains at 24 h of incubation, breakpoints of < or = 2 microg/ml for mecA-negative and > or = 4 microg/ml for mecA-positive isolates gave sensitivity and specificity of 94 to 99% and 69 to 80%, respectively.

Publication types

  • Evaluation Study
  • Multicenter Study

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Proteins / genetics*
  • Cefoxitin / pharmacology*
  • Humans
  • Microbial Sensitivity Tests
  • Penicillin-Binding Proteins
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Staphylococcus / drug effects*
  • Staphylococcus / genetics

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • MecA protein, Staphylococcus epidermidis
  • Penicillin-Binding Proteins
  • mecA protein, Staphylococcus aureus
  • Cefoxitin