Distribution of β-lactamases in Acinetobacter baumannii clinical isolates and the effect of Syn 2190 (AmpC inhibitor) on the MICs of different β-lactam antibiotics

被引:27
作者
Danes, C [1 ]
Navia, MM [1 ]
Ruiz, J [1 ]
Marco, F [1 ]
Jurado, A [1 ]
de Anta, MTJ [1 ]
Vila, J [1 ]
机构
[1] Univ Barcelona, Microbiol Serv, Inst Clin Infecc & Immunol, Hosp Clin IDIBAPS, E-08036 Barcelona, Spain
关键词
D O I
10.1093/jac/dkf092
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The distribution of beta-lactamases in a group of 20 epidemiologically well defined Acinetobacter baumannii clinical isolates and the in vitro activity of Syn 2190, a novel beta-lactamase AmpC inhibitor, were determined. Twenty-five per cent of the strains carried and expressed a TEM-type beta-lactamase, whereas 35% had an OXA-type beta-lactamase. In nine out of 11 (82%) ceftazidime-resistant and four out of 13 (30.7%) cefepime-resistant strains, the MIC of these beta-lactam antibiotics decreased when determined in the presence of Syn 2190. Thus, our results suggest that in a high percentage of A. baumannii clinical isolates the increased production of AmpC, in combination or not with other resistance mechanisms, contributes to the resistance pattern in A. baumannii to beta-lactams.
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页码:261 / 264
页数:4
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