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[Demonstration of methicillin-resistant Staphylococci using the broth microdilution method].

Authors: A, Rossi; R, Citterio; A, Braga;

[Demonstration of methicillin-resistant Staphylococci using the broth microdilution method].

Abstract

The increasing incidence of methicillin resistant staphylococci rendered more important the problem of their detection, by the susceptibility tests, particularly by the broth microdilution methods. The effects of the addition of 2% NaCl to the Cation Supplemented Mueller Hinton Broth (CSMHB) on the MICs of penicillinase resistant penicillins (PRP) and of other antibiotics have been studied on 100 strains of staphylococci isolated by pathological materials. In 13% of the studied strains the MIC of oxacillin in CSMHB plus 2% NaCl was at least 4 times greater than the value found in the absence of NaCl. In the same experimental conditions a ratio between MICs equal or greater than 4 dilutions resulted in 69% of the strains for the gentamicin and in 93% of the strains for the amikacin. Such variation in the value of MIC determined a change in the category of susceptibility (from sensitive to intermediate or resistant and from intermediate to resistant) in 10% of the strains for the oxacillin, in 28% for the gentamicin and 41% for the amikacin. To improve detection of methicillin resistant staphylococci without altering the MICs of other antibiotics (aminoglycosides), it is necessary to perform the broth microdilution tests with CSMHB and with CSMHB plus 2% NaCl. CSMHB plus 2% NaCl will be used for testing PPR and cephalosporin, while CSMHB for the other antibiotics.

Keywords

Methicillin, Penicillin Resistance, Staphylococcus, Humans, Microbial Sensitivity Tests, Staphylococcal Infections, Anti-Bacterial Agents

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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