Effect of source of Mueller-Hinton agar on detection of oxacillin resistance in Staphylococcus aureus using a

Insights

Oxacillin screening plates reliably detect oxacillin-resistant Staphylococcus aureus. However, the specific Mueller-Hinton agar manufacturer can impact the accuracy of these crucial diagnostic tests.

Area of Science:

  • Microbiology
  • Clinical Diagnostics
  • Antimicrobial Resistance

Background:

  • Staphylococcus aureus is a significant pathogen, and oxacillin resistance is a growing concern.
  • Accurate and rapid detection of oxacillin resistance is crucial for effective treatment strategies.

Purpose of the Study:

  • To evaluate the reliability of oxacillin screening agar plates for detecting oxacillin-resistant Staphylococcus aureus (ORSA).
  • To assess the influence of different Mueller-Hinton agar manufacturers on screening plate performance.

Main Methods:

  • Dehydrated Mueller-Hinton agar from five manufacturers was used to prepare screening plates with 4% NaCl and 6 µg/mL oxacillin.
  • 137 Staphylococcus aureus isolates (109 resistant, 28 susceptible) from diverse geographic areas were tested.
  • Results were compared against minimum inhibitory concentrations (MICs) determined by broth microdilution.

Main Results:

  • Screening plates from three manufacturers showed 100% correlation with MICs for detecting ORSA.
  • Plates from the remaining two manufacturers demonstrated 90% and 99% correlation, respectively.
  • No oxacillin-susceptible isolates grew on any screening plates, indicating high specificity.

Conclusions:

  • Oxacillin screening agar plates are a reliable method for detecting oxacillin-resistant Staphylococcus aureus.
  • The performance of these screening plates can be influenced by the brand of dehydrated Mueller-Hinton agar used.