Purpose: To determine if an outpatient with a methicillin resistant Staphylococcus aureus (MRSA) can be treated with oral clindamycin based on the D-zone test.			Citations with documentation. 25.01.08	Medal Project 2005. See disclaimer.
conversion	enter
measurement in inches		inches equals	0	mm
data	enter
Are you evaluating an outpatient with an infection caused by a methicillin resistant Staphylococcus aureus? (Y or N)		:-):-):-)
diameter of the zone of inhibition around the erythromycin disk in mm		mm
diameter of the zone of inhibition around the clindamycin disk in mm		mm
enter an "x" in the appropriate column to describe the shape of the zone of inhibition around the clindamycin disk (give only 1 answer)
	none	uniformly circular	flattened on side near the erythromycin disk
zone of inhibition around clindamycin disk				Yes	2
calculate	result
data complete?	Yes
evaluation appropriate?	Yes	:-):-):-)
The isolate is	intermediate	to erythromycin
The isolate is	susceptible	to clindamycin
Is there evidence of inducible resistance to clindamycin?	No
Can the patient be treated with oral clindamycin?	Yes