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Scope and Predictive Genetic/Phenotypic Signatures of Bicarbonate (NaHCO3) Responsiveness and β-Lactam Sensitization in Methicillin-Resistant Staphylococcus aureus.

Publication ,  Journal Article
Ersoy, SC; Otmishi, M; Milan, VT; Li, L; Pak, Y; Mediavilla, J; Chen, L; Kreiswirth, B; Chambers, HF; Proctor, RA; Xiong, YQ; Fowler, VG; Bayer, AS
Published in: Antimicrob Agents Chemother
April 21, 2020

Addition of sodium bicarbonate (NaHCO3) to standard antimicrobial susceptibility testing medium reveals certain methicillin-resistant Staphylococcus aureus (MRSA) strains to be highly susceptible to β-lactams. We investigated the prevalence of this phenotype (NaHCO3 responsiveness) to two β-lactams among 58 clinical MRSA bloodstream isolates. Of note, ∼75% and ∼36% of isolates displayed the NaHCO3 responsiveness phenotype to cefazolin (CFZ) and oxacillin (OXA), respectively. Neither intrinsic β-lactam MICs in standard Mueller-Hinton broth (MHB) nor population analysis profiles were predictive of this phenotype. Several genotypic markers (clonal complex 8 [CC8]; agr I and spa t008) were associated with NaHCO3 responsiveness for OXA.

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Published In

Antimicrob Agents Chemother

DOI

EISSN

1098-6596

Publication Date

April 21, 2020

Volume

64

Issue

5

Location

United States

Related Subject Headings

  • beta-Lactams
  • Staphylococcal Infections
  • Sodium Bicarbonate
  • Prevalence
  • Predictive Value of Tests
  • Phenotype
  • Oxacillin
  • Microbiology
  • Microbial Sensitivity Tests
  • Methicillin-Resistant Staphylococcus aureus
 

Citation

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Ersoy, S. C., Otmishi, M., Milan, V. T., Li, L., Pak, Y., Mediavilla, J., … Bayer, A. S. (2020). Scope and Predictive Genetic/Phenotypic Signatures of Bicarbonate (NaHCO3) Responsiveness and β-Lactam Sensitization in Methicillin-Resistant Staphylococcus aureus. Antimicrob Agents Chemother, 64(5). https://doi.org/10.1128/AAC.02445-19
Ersoy, Selvi C., Mariam Otmishi, Vanessa T. Milan, Liang Li, Youngju Pak, Jose Mediavilla, Liang Chen, et al. “Scope and Predictive Genetic/Phenotypic Signatures of Bicarbonate (NaHCO3) Responsiveness and β-Lactam Sensitization in Methicillin-Resistant Staphylococcus aureus.Antimicrob Agents Chemother 64, no. 5 (April 21, 2020). https://doi.org/10.1128/AAC.02445-19.
Ersoy SC, Otmishi M, Milan VT, Li L, Pak Y, Mediavilla J, et al. Scope and Predictive Genetic/Phenotypic Signatures of Bicarbonate (NaHCO3) Responsiveness and β-Lactam Sensitization in Methicillin-Resistant Staphylococcus aureus. Antimicrob Agents Chemother. 2020 Apr 21;64(5).
Ersoy, Selvi C., et al. “Scope and Predictive Genetic/Phenotypic Signatures of Bicarbonate (NaHCO3) Responsiveness and β-Lactam Sensitization in Methicillin-Resistant Staphylococcus aureus.Antimicrob Agents Chemother, vol. 64, no. 5, Apr. 2020. Pubmed, doi:10.1128/AAC.02445-19.
Ersoy SC, Otmishi M, Milan VT, Li L, Pak Y, Mediavilla J, Chen L, Kreiswirth B, Chambers HF, Proctor RA, Xiong YQ, Fowler VG, Bayer AS. Scope and Predictive Genetic/Phenotypic Signatures of Bicarbonate (NaHCO3) Responsiveness and β-Lactam Sensitization in Methicillin-Resistant Staphylococcus aureus. Antimicrob Agents Chemother. 2020 Apr 21;64(5).

Published In

Antimicrob Agents Chemother

DOI

EISSN

1098-6596

Publication Date

April 21, 2020

Volume

64

Issue

5

Location

United States

Related Subject Headings

  • beta-Lactams
  • Staphylococcal Infections
  • Sodium Bicarbonate
  • Prevalence
  • Predictive Value of Tests
  • Phenotype
  • Oxacillin
  • Microbiology
  • Microbial Sensitivity Tests
  • Methicillin-Resistant Staphylococcus aureus