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Objective:To evaluate the detection of methicillin resistant Staphylococcus aureus(MRSA) and analyze the performance of Mastalex MRSA(Mast,UK).Methods:Two hundred and ten Staphylococcus aureus (S. aureus)strains were isolated from different clinical samples and were tested for methicillin resistance by Oxacillin (1μg) and Cefoxitin (30 μg) disc diffusion, oxacillin agar screen, and minimum inhibitory concentration of oxacillin and cefoxitin.S. aureus isolates were grown on the blood agar and mannitol salt agar with (2mg/L) and without oxacillin for the analysis of MastalexMRSA.Results: Out of210S. aureus strains tested,103 strains were detected as methicillin resistant by Cefoxitin disk diffusion, Cefoxitin minimal inhibitory concentration(MIC) and MastalexMRSA test. Whereas oxacillin disc diffusion and oxacillin agar screen detected91 and97 MRSA respectively. The Cefoxitin MIC test performance was equivalent to Cefoxitin disc diffusion.103 (100%)strains grown on blood agar without and with oxacillin, and76 (74%) and93 (91%) strains grown on mannitol salt agar without and with oxacillin shown positive agglutination with MastalexMRSA test respectively.Conclusions: The cefoxitin disk diffusion/ MastalexMRSA is very suitable for detection ofMRSA and the tests can be an altative toPCR for detection ofMRSA in resource constraint settings. Mastalex test would be particularly useful when confirmation of resistance is urgently required.