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Oxacillin disk diffusion testing for the prediction of penicillin resistance in Streptococcus pneumoniae

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dc.contributor.author Horna, Gertrudis
dc.contributor.author Molero, Maria L.
dc.contributor.author Benites, Liliana
dc.contributor.author Roman, Sigri
dc.contributor.author Carbajal, Luz
dc.contributor.author Mercado, Erik
dc.contributor.author Castillo, Maria E.
dc.contributor.author Zerpa, Rito
dc.contributor.author Chaparro, Eduardo
dc.contributor.author Hernandez, Roger
dc.contributor.author Silva, Wilda
dc.contributor.author Campos, Francisco
dc.contributor.author Saenz, Andy
dc.contributor.author Reyes, Isabel
dc.contributor.author Villalobos, Alex
dc.contributor.author Ochoa Woodell, Theresa Jean
dc.date.accessioned 2019-02-22T14:54:32Z
dc.date.available 2019-02-22T14:54:32Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5664
dc.description.abstract Objective. To 1) describe the correlation between the zones of inhibition in 1-mu g oxacillin disk diffusion (ODD) tests and penicillin and ceftriaxone minimum inhibitory concentrations (MICs) of meningeal and non-meningeal strains of Streptococcus pneumoniae and 2) evaluate the usefulness of the ODD test as a predictor of susceptibility to penicillin in S. pneumoniae and as a quick and cost-effective method easily implemented in a routine clinical laboratory setting. Methods. S. pneumoniae isolates from healthy nasopharyngeal carriers less than 2 years old, obtained in a multicentric cross-sectional study conducted in various Peruvian hospitals and health centers from 2007 to 2009, were analyzed. Using Clinical and Laboratory Standards Institute (CLSI) breakpoints, the correlation between the zones of inhibition of the ODD test and the MICs of penicillin and ceftriaxone was determined. Results. Of the 571 S. pneumoniae isolates, 314 (55%) showed resistance to penicillin (MIC >= 0.12 mu g/mL) and 124 (21.7%) showed resistance to ceftriaxone (MIC >= 1 mu g/mL). Comparison of the ODD test zones of inhibition and the penicillin MICs, using the CLSI meningeal breakpoints, showed good correlation (Cohen's kappa coefficient = 0.8239). Conclusions. There was good correlation between ODD zones of inhibition and penicillin meningeal breakpoints but weak correlation between the ODD results and non-meningeal breakpoints for both penicillin and ceftriaxone. Therefore, the ODD test appears to be a useful tool for predicting penicillin resistance in cases of meningeal strains of S. pneumoniae, particularly in low- and middle- income countries, where MIC determination is not routinely available. en_US
dc.language.iso eng
dc.publisher Pan American Health Organization
dc.relation.ispartofseries Revista Panamericana de Salud Publica
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Latin America en_US
dc.subject Streptococcus pneumoniae en_US
dc.subject oxacillin en_US
dc.title Oxacillin disk diffusion testing for the prediction of penicillin resistance in Streptococcus pneumoniae en_US
dc.title.alternative Prueba de difusión con discos de oxacilina para predecir la resistencia a la penicilina de Streptococcus pneumoniae es_PE
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10665.2/28580
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1680-5348


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