h MIC results for 115 Staphylococcus intermedius group isolates are presented. Of these, 33% were methicillin resistant, among which 51.4% were susceptible to doxycycline, 29.7% to clindamycin, and 21.6% to trimethoprim-sulfamethoxazole. All of the isolates were susceptible to ceftaroline, daptomycin, linezolid, nitrofurantoin, quinupristin-dalfopristin, rifampin, tigecycline, and vancomycin. Of all the isolates, 82.6%, 67.8%, and 23.5% were susceptible to ciprofloxacin, erythromycin, and penicillin, respectively. No isolates harbored mupA or qacA/B genes, which suggested a lack of resistance to mupirocin or chlorhexidine.
T he Staphylococcus intermedius group (SIG) is comprised ofStaphylococcus intermedius, Staphylococcus pseudintermedius, and Staphylococcus delphini. These Gram-positive cocci (except for S. intermedius) are positive for tube coagulase and negative for slide coagulase and may be misidentified as Staphylococcus aureus by clinical laboratories that test human specimens (1). A colonizer of the nares and anal mucosa of cats and dogs, S. pseudintermedius is increasingly being recognized in human diagnostic specimens (2). This may be due in part to improved diagnostic technologies, such as matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS), now being used in many clinical laboratories. S. pseudintermedius has been documented to cause invasive infections, including brain abscesses, endocarditis, and bacteremia, in humans (3). Methicillin resistance among S. pseudintermedius isolated from dogs is increasing (4), with rates of up to 47% in some regions of the world (5). This resistance is predominantly due to the dissemination of the ST71 clonal lineage in Europe and the ST68 clonal lineage in North America (4). Methicillin-resistant isolates often display resistance to other classes of antimicrobials used in veterinary medicine, including aminoglycosides, fluoroquinolones, lincosamides, macrolides, and tetracyclines, and to chloramphenicol and trimethoprim-sulfamethoxazole (SXT) (6). However, limited susceptibility data are available for S. pseudintermedius with antimicrobials used for humans. We recently conducted a study to evaluate oxacillin and cefoxitin disk and MIC results as predictors of methicillin resistance (encoded by mecA) in a collection of 115 SIG isolates from human and veterinary specimens associated with clinical infections. This study documented that cefoxitin testing, which is recommended by the Clinical and Laboratories Standards Institute (CLSI) to predict methicillin resistance for other species of staphylococci, is a poor predictor of mecA in SIG, whereas both oxacillin disk and MIC tests accurately detect mecA-mediated oxacillin resistance in these isolates (7). As a result of our study, CLSI published S. pseudintermedius-specific oxacillin breakpoints in the 26th edition of the M100S standard (8). In the present study, we document the results of antimicrobial susceptibility testing (AST) for this collection of 115 SIG isolates, includin...