Comparison of the vitek Gram-Positive Susceptibility 106 Card and the MRSA-Screen latex agglutination test for determining oxacillin resistance in clinical bloodstream isolates of Staphylococcus aureus

The Vitek automated susceptibility testing system with a modified Gram-Posi tive Susceptibility (GPS) 106 Card (bioMerieux Vitek, Inc., Hazelwood, Mo.) and a rapid slide latex agglutination test (MRSA-Screen; Denka Seiken Co., Ltd., Tokyo, Japan) were evaluated for their ability to detect oxacillin r esistance in Staphylococcus aureus. The oxacillin-salt agar screen (OS) tes t, the reference broth microdilution method, and the detection of the mecA gene by PCR were compared with the commercial products. A total of 200 cont emporary (1999) bloodstream infection isolates were collected from the SENT RY Antimicrobial Surveillance Program, representing diverse geographic area s throughout the world. Among the 99 mecA-positive isolates, 3 isolates wer e found negative by the MRSA-Screen. Another two isolates did not grow on O S plates and had MICs of 0.5 and 2 mug/ml with the Vitek GPS card. All 101 mecA-negative isolates were also found negative by the MRSA-Screen and were categorized as susceptible by the GPS card. Overall, the MRSA-Screen, GPS card, and OS test had sensitivities of 96.9, 98.0, and 98.0% and specificit ies of 100.0, 100.0, and 98.0%, respectively. MRSA-Screen was a rapid (less than or equal to 15 min) and simple test to perform, and the GPS card prov ided results in <8 h. Both methods were sensitive and specific for detectin g staphylococcal oxacillin resistance in the clinical microbiology laborato ry.