کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3346934 | 1215921 | 2015 | 6 صفحه PDF | دانلود رایگان |

• Type A was the only detected β-lactamase in MSSA isolates exhibiting the CIE.
• The CIE was more common in MSSA isolates with dysfunctional agr.
• The CIE was observed only in MSSA isolates with agr group I or III.
• The CIE was more prevalent in isolates with dysfunctional agr among those with type A β-lactamase.
We evaluated the clinical significance of the cefazolin inoculum effect (CIE) in methicillin-susceptible Staphylococcus aureus (MSSA) isolates. In total, 146 isolates were recovered from patients with MSSA bacteremia at 9 hospitals in Korea. The CIE was observed in 16 MSSA isolates, and while type A was the only detected β-lactamase in MSSA isolates exhibiting the CIE, no strains expressing type B, C, or D β-lactamases exhibited this effect. The CIE was only observed in agr group III and I isolates and was significantly more common in isolates with agr dysfunction than in those with functional agr (P < 0.001). Even among isolates producing type A β-lactamase, the CIE was also prevalent in isolates with dysfunctional agr than in isolates with functional agr (P = 0.025). This study demonstrates an association between the CIE of MSSA isolates and agr dysfunction, in addition to those between the CIE and type A β-lactamase.
Journal: Diagnostic Microbiology and Infectious Disease - Volume 83, Issue 3, November 2015, Pages 286–291