2020
DOI: 10.1128/jcm.02038-19
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Difficult-To-Detect Staphylococcus aureus: mecA -Positive Isolates Associated with Oxacillin and Cefoxitin False-Susceptible Results

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Cited by 16 publications
(10 citation statements)
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“…MIC was defined as the lowest concentration at which no visible growth occurred. Linezolid MICs for the clinical strains generally matched those reported by the CDC ( 47 ).…”
Section: Methodssupporting
confidence: 75%
“…MIC was defined as the lowest concentration at which no visible growth occurred. Linezolid MICs for the clinical strains generally matched those reported by the CDC ( 47 ).…”
Section: Methodssupporting
confidence: 75%
“…The lower AUC in FYH is due to a lower specificity of 0.65, which means some strains were predicted as MRSA in our trained ML predicts but they were identified as MSSA in FYH AST reports. FYH used Vitek 2 instead of Phoenix for AST; however, Gargis et al have reported that MRSA could be miscategorized into MSSA in Vitek 2 system ( 20 ), which could result in the lower specificity in our ML model when predicting MRSA using FYH data set.…”
Section: Discussionmentioning
confidence: 97%
“…[20][21][22] Isolates MR-hVISA-33 and MRSA-6539 were mecA positive yet phenotypically susceptible to oxacillin (OS-MRSA), indicating the likely occurrence of frameshift mutations or single base substitutions in regions of nucleotide repeats within mecA, which have the ability to reverse into resistance when exposed to antibiotics. 23,24 The other remaining 12 strains, despite exhibiting phenotypic resistance to oxacillin or/and cefoxitin, were not identified by PCR for the mecA gene and had negative results in the SCCmec typing assay, so we did not treat them as MRSA.…”
Section: Discussionmentioning
confidence: 99%