Association between the blaZ gene and the cefazolin inoculum effect among bloodstream isolates of methicillin-susceptible Staphylococcus aureus

The incidence of CzIE in MSSA was 12.4%. While blaZ type C was the most common, blaZ type A exhibited the most significant correlation with CzIE. Clinicians must remain alert for blaZ type A strains, as their significant inoculum effect may elevate the probability of cefazolin treatment failure in severe MSSA infections.

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Publication Details

Journal
Journal of Global Antimicrobial Resistance
Published
2026-03-07
DOI
https://doi.org/10.1016/j.jgar.2026.02.012
Primary Topic
Antimicrobial Resistance in Staphylococcus
Type
article
Field-Weighted Citation Impact
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article

Association between the blaZ gene and the cefazolin inoculum effect among bloodstream isolates of methicillin-susceptible Staphylococcus aureus

Ye Xiao, Yahong Qu, Wenyan Zhu, Huiqiong Jia et al.
Journal of Global Antimicrobial Resistance
Antimicrobial Resistance in Staphylococcus
article

Association between the blaZ gene and the cefazolin inoculum effect among bloodstream isolates of methicillin-susceptible Staphylococcus aureus

Ye Xiao, Yahong Qu, Wenyan Zhu, Huiqiong Jia, Yaxi Gu, Yuqing Chen, Shengchao Li, Qing Yang
article en

Abstract

The incidence of CzIE in MSSA was 12.4%. While blaZ type C was the most common, blaZ type A exhibited the most significant correlation with CzIE. Clinicians must remain alert for blaZ type A strains, as their significant inoculum effect may elevate the probability of cefazolin treatment failure in severe MSSA infections.

Journal of Global Antimicrobial ResistanceVol. 48
Ningbo No. 2 Hospital (CN), Ningbo No.6 Hospital (CN), First Affiliated Hospital Zhejiang University (CN)
Good health and well-being
Openalex Percentile: Top 31%
Antimicrobial Resistance in Staphylococcus
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