Detection of the mecA gene or PBP2a is considered the gold standard for detecting mecA-mediated methicillin resistance in staphylococci. Among available phenotypic methods, the Clinical and Laboratory Standards Institute (CLSI) has introduced the cefoxitin disk diffusion (DD) test for predicting the presence of mecA in S. aureus and CoNS, which is preferred over the oxacillin DD test. Automated...

E-test, Vitek 2, MicroScan, agar dilution, and disk diffusion were compared for detection of decreased linezolid susceptibility due to 23S rRNA gene G2576T mutation among 32 clinical Enterococcus strains initially reported as intermediate or resistant by E-test alone or Vitek 2 confirmed by E-test. Agar and broth dilution methods were in concordance with PCR detection of the mutation, and disk ...

By comparison with agar dilution results, the E test was investigated for the ability to detect high-level aminoglycoside (gentamicin and streptomycin), ampicillin, and vancomycin resistance among strains representing six enterococcal species. For ampicillin and vancomycin, disk diffusion results also were obtained. No false high-level aminoglycoside resistance occurred, and no false gentamicin...

Background: CClostridium difficile is an anaerobic gram-positive bacterium currently recognized as the most common cause of nosocomial infectious diarrhea in the nursing home. The antibiotic susceptibility profiles are the basic step to successful treatment due to the antimicrobial resistance. This present study assessed the susceptibility profiles of C. difficile, previously isolated from Elde...

Two oxacillin disk methods were compared with a cefoxitin disk diffusion test for detection of methicillin-resistant Staphylococcus aureus (MRSA), with PCR for mecA as the reference method. When tested with 115 MRSA and 350 methicillin-susceptible S. aureus isolates, the cefoxitin disk test (specificity 100%, sensitivity 96.5%) was superior to the oxacillin disk methods (specificity 99.1%, sens...

Polymyxin, Colistin, Disk diffusion, E-test, MDR, XDR Background: The widespread multidrug-resistant Gram-negative bacilli (GNB)has necessitated the evaluation of the use of older antimicrobials such as polymyxins being the last resort drugs for the treatment of life-threatening nosocomial infections. Objectives: We conducted the present study to evaluate simple disk diffusion method (the routi...

AIM the goal of this study is to understand the phenotype characteristic of beta-lactamase enzymes producing Enterobacteriaceae, such as ESBL, AmpC, and carbapenemase. METHODS three different methods are performed to confirm those phenotypic characteristics, namely double disk diffusion method to confirm ESBL, AmpC disk test (cefoxitin-based) to confirm AmpC, and modified Hodge test to confir...