Activity of ceftazidime/avibactam against Enterobacteriaceae producing extended-spectrum beta-lactamases and acquired AmpC beta-lactamases, including those lacking porin expression

Author(s):  
M. Carmen Conejo
2015 ◽  
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Rima Batah ◽  
Lotfi Loucif ◽  
Abiola Olumuyiwa Olaitan ◽  
Nafissa Boutefnouchet ◽  
Hamoudi Allag ◽  
...  

2005 ◽  
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Olfa Bouallègue-Godet ◽  
Francine Grimont ◽  
Youssef Ben Salem ◽  
Mabrouka Saidani ◽  
Ridha Mzoughi ◽  
...  

1991 ◽  
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A A Medeiros

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pp. 616-620 ◽  
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A Bauernfeind ◽  
I Stemplinger ◽  
R Jungwirth ◽  
P Mangold ◽  
S Amann ◽  
...  

Plasmidic extended-spectrum beta-lactamases of Ambler class A are mostly inactive against ceftibuten. Salmonella typhimurium JMC isolated in Argentina harbors a bla gene located on a plasmid (pMVP-5) which confers transferable resistance to oxyiminocephalosporins, aztreonam, and ceftibuten. The beta-lactamase PER-2 (formerly ceftibutenase-1; CTI-1) is highly susceptible to inhibition by clavulanate and is located at a pI of 5.4 after isoelectric focusing. The blaPER-2 gene was cloned and sequenced. The nucleotide sequence of a 2.2-kb insert in vector pBluescript includes an open reading frame of 927 bp. Comparison of the deduced amino acid sequence of PER-2 with those of other beta-lactamases indicates that PER-2 is not closely related to TEM or SHV enzymes (25 to 26% homology). PER-2 is most closely related to PER-1 (86.4% homology), an Ambler class A enzyme first detected in Pseudomonas aeruginosa. An enzyme with an amino acid sequence identical to that of PER-1, meanwhile, was found in various members of the family Enterobacteriaceae isolated from patients in Turkey. Our data indicate that PER-2 and PER-1 represent a new group of Ambler class A extended-spectrum beta-lactamases. PER-2 so far has been detected only in pathogens (S. typhimurium, Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis) isolated from patients in South America, while the incidence of PER-1-producing strains so far has been restricted to Turkey, where it occurs both in members of the family Enterobacteriaceae and in P. aeruginosa.


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