M. Ieven et al., RAPID DETECTION OF METHICILLIN RESISTANCE IN COAGULASE-NEGATIVE STAPHYLOCOCCI BY COMMERCIALLY AVAILABLE FLUORESCENCE TEST, Journal of clinical microbiology, 33(8), 1995, pp. 2183-2185
A commercially available fluorescence test (Crystal MRSA ID System; BB
L) for the rapid detection of methicillin resistance in Staphylococcus
aureus was evaluated for the detection of methicillin resistance in c
oagulase-negative staphylococci. The assay was compared with the agar
dilution method and mecA detection by PCR. Provided that one uses an i
noculum equivalent to a no. 2 McFarland standard instead of a no. 0.5
McFarland standard, which is used for S. aureus, the Crystal MRSA ID S
ystem detects methicillin resistance among coagulase-negative staphylo
cocci with sensitivity, specificity, and positive and negative predict
ive values of 98.5, 95.4, 96.3, and 98.1%, respectively.