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Mem. Inst. Oswaldo Cruz ; 105(7): 931-934, Nov. 2010. tab
Article in English | LILACS | ID: lil-566187

ABSTRACT

A total of 138 isolates, 118 methicillin-resistant Staphylococcus aureus (MRSA) isolates (staphylococcal cassette chromosome type II, 20 isolates, type III, 39 isolates and type IV, 59 isolates) and 20 methicillin-sensitive S. aureus isolates were evaluated by phenotypic methods: cefoxitin and oxacillin disk diffusion (DD), agar dilution (AD), latex agglutination (LA), oxacillin agar screening (OAS) and chromogenic agar detection. All methods showed 100 percent specificity, but only the DD tests presented 100 percent sensitivity. The sensitivity of the other tests ranged from 82.2 percent (OAS)-98.3 percent (AD). The LA test showed the second lowest sensitivity (86.4 percent). The DD test showed high accuracy in the detection of MRSA isolates, but there was low precision in the detection of type IV isolates by the other tests, indicating that the genotypic characteristics of the isolates should be considered.


Subject(s)
Humans , Anti-Bacterial Agents , Cefoxitin , Methicillin Resistance , Oxacillin , Staphylococcus aureus , Disk Diffusion Antimicrobial Tests , Latex Fixation Tests , Methicillin-Resistant Staphylococcus aureus , Methicillin-Resistant Staphylococcus aureus , Phenotype , Reproducibility of Results , Sensitivity and Specificity , Staphylococcus aureus
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