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The Kirby Bauer method described in this article is not recommended for datection of VISA(vancomycin intermediate Staphylococcus aureus) strains. CDC Atlanta USA describes three criteria for detection of VISA strains, consisting of MIC by Broth microdilution on MH agar of 8-16ug/ml, Growth on BHI agar containing 6ug/ml of vancomycin and Etest MIC of >6 ug/ml. All three criteria must be met before an isolate is labeled VISA.
Posted by: on Oct 2002

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