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Why do you now recommend using Cefoxitin 10 g discs in place of methicillin discs for the detection of methicillin resistance?

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Why do you now recommend using Cefoxitin 10 g discs in place of methicillin discs for the detection of methicillin resistance?

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A. Cefoxitin is a good inducer of PBP 2a and consequently performs much better than methicillin in the detection of heterogeneous and low level resistance. All mecA gene positive Staphylococcus aureus examined have had a cefoxitin zone of < 6 mm in annular radius, mitigating the need to look for resistant colonies within the zone of inhibition.

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