title: Evaluation of the BBL Crystal MRSA ID System for detection of oxacillin resistance in Staphylococcus aureus.
abstract: OBJECTIVE
  To evaluate the BBL Crystal MRSA ID System for detection of oxacillin resistance in Staphylococcus aureus.
  
  
  METHODS
  52 methicillin resistant S aureus (MRSA) from five different countries and 85 methicillin susceptible S aureus (MSSA) were included. The species was confirmed by tube coagulation and detection of the clumping factor using the Staphaurex Plus. Clonal non-identity of the MRSA isolates was shown by pulsed field gel electrophoresis. MIC values (oxacillin) were determined using the Etest. Polymerase chain reaction was carried out to detect the mecA gene. The BBL Crystal MRSA ID System was carried out according to the manufacturer's instructions.
  
  
  RESULTS
  The BBL Crystal MRSA ID System showed fluorescence in 45 of 52 MRSA (sensitivity 86.5%; negative predicitive value 92.2%), and the specificity was 97.6% (positive predicitive value 95.7%). Two of seven MRSA that failed to show fluorescence had MIC values (oxacillin) of 4 mg/litre.
  
  
  CONCLUSIONS
  The BBL Crystal MRSA ID System is a valuable test for detecting oxacillin resistance in S aureus. Its major advantage is the short time (4-5 hours) required to perform the test when organisms are grown on tryptic soy agar or sheep blood agar. Difficulties may arise in borderline resistant isolates.
authors.affiliation: Institut für Hygiene, Umweltmedizin und Arbeitsmedizin, Freie Universität Berlin, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Kampf
authors.forename: C
authors.initials: C
authors.lastname: Lecke
authors.forename: A K
authors.initials: AK
authors.lastname: Cimbal
authors.forename: K
authors.initials: K
authors.lastname: Weist
authors.forename: H
authors.initials: H
authors.lastname: Rüden
mesh_terms: D005069:Evaluation Studies as Topic; D016106:Methicillin Resistance; D008826:Microbial Sensitivity Tests; D010068:Oxacillin / Q000494:pharmacology*; D010403:Penicillin Resistance; D010406:Penicillins / Q000494:pharmacology*; D011237:Predictive Value of Tests; D011933:Reagent Kits, Diagnostic; D012680:Sensitivity and Specificity; D013211:Staphylococcus aureus / Q000187:drug effects*; D013997:Time Factors
chemical_list: D010406:Penicillins; D011933:Reagent Kits, Diagnostic; D010068:Oxacillin