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. 1999 Sep;37(9):2952–2961. doi: 10.1128/jcm.37.9.2952-2961.1999

TABLE 2.

Comparison of susceptibility testing methods to mecA gene analysis for 58 CoNS isolates

Method Medium Incubation temp (°C) Incubation time (h) No. of isolates
Sensitivity (%) Specificity (%) No growth on control
mecA positive mecA negative Sa Ia Ra
Agar dilution 0% NaCl 30 24 27 27 41b/34c 13b/20c 48.1b/59.3c 100b/85.2c 4
48 29 27 42b/36c 14b/20c 48.3b/62.1c 100b/96.3c 2
35 24 29 28 43b/36c 14b/21c 48.3b/65.5c 100b/92.9c 1
48 30 28 40b/35c 18b/23c 60.0b/70.0c 100b/92.9c 0
2% NaCl 30 24 28 27 34b/31c 21b/24c 75.0b/85.7c 100b/100c 3
48 29 28 34b/32c 23b/25c 79.3b/86.2c 100b/100c 1
35 24 30 28 39b/35c 19b/23c 63.3b/76.7c 100b/100c 0
48 30 28 35b/30c 23b/28c 76.7b/93.3c 100b/100c 0
4% NaCl 30 24 26 26 28b/27c 24b/25c 92.3b/92.3c 100b/96.1c 6
48 29 28 32b/31c 25b/26c 86.2b/86.2c 100b/96.4c 1
35 24 29 27 31b/30c 25b/26c 86.2b/89.7c 100b/100c 2
48 30 28 28b/28c 28b/30c 96.7bd/96.7c 96.4bd/96.4c 0
Disk diffusion Difco 35 24 29 27 22 6 28 90.0 74.1 2
48 30 27 20 4 33 93.3 66.7 1
BBL 35 24 29 27 23 2 31 86.2 74.1 2
48 29 27 20 3 33 93.1 70.4 2
Agar screen
 Swab inoculation Remel 35 24 30 28 46 12 40.0 100 e
48 30 28 33 25 83.3 100 e
Difco 35 24 29f/27g 27f/23g 27f/35g 29f/14g 93.1f/51.8g 92.6f/100g 2f/1g
48 30f/27g 27f/23g 25f/22g 32f/26g 100f/96.3g 92.6f/100g 1f/1g
 Spot inoculation Remel 30 24 30 28 44 14 46.7 100 e
48 30 28 39 19 63.3 100 e
35 24 30 28 38 20 66.7 100 e
48 30 28 38 20 66.7 100 e
Difco 30 24 26 26 30 22 84.6 100 6
48 29 28 33 24 82.3 100 1
35 24 29 27 36 20 70.0 100 2
48 30 28 32 26 83.3 96.4 0
a

S, susceptible; I, intermediate; R, resistant. 

b

Susceptibility breakpoint, ≤2 μg/ml. 

c

Susceptibility breakpoint, ≤1 μg/ml. 

d

One isolate was interpreted as susceptible but was mecA positive; this isolate was interpreted as resistant by the agar screen swab inoculation method with Difco medium prepared in-house (60 colonies at 0.6 μg/ml; 20 colonies at 6.0 μg/ml). 

e

No control plate available. 

f

Oxacillin concentration, 0.6 μg/ml. 

g

Oxacillin concentration, 6.0 μg/ml.