In this article, isolates of gram-negative bacteria producing extended-spectrum β-lactamases (ESBLs) were studied in a 4-hour incubation period under conditions of 5 concentrations of PbP-3 and PbP-1 dependent β-lactam antibiotics ceftazidime or сefotaxime. In the course of the study, modern research methods were used. It can be concluded that the relative degree of PBP binding, expressed in changes in bacterial morphology, may differ for each combination of an antibiotic and a bacterial species, group, or isolate. Since the resistance of gram-negative bacteria is a new problem in clinical practice, 14 isolates of E.coli and Klebsiella pneumoniae, which produce extended-spectrum beta-lactamases (ESBLs), were studied. Morphological changes after exposure to lactam antibiotics revealed certain patterns in various bacterial groups and isolators. In general, all Enterobacteriaceae isolates produced filaments in a relatively small concentration range. Filaments of Pseudomonas and Acinetobacter spp. they were produced in the presence of a clinically significant concentration of two antibiotics, which reaches 50 mg/l. Ceftazidime provoked the formation of filaments in a larger number of isolates and in greater concentrations than Cefotaxime. The number of bacteria the relationship between the formation of filaments and colony-forming units at concentrations of 0, 0.1, 5, 20, 30 mg/l in the presence of ceftazidime or cefotaxime E. coli was detected in an experiment using ATCC 25922. After incubation for 4 hours, the samples were sprinkled with blood agar. The article shows that 37 isolates of gram-negative bacteria collected during the experiment were detected using the Vitek 2 system and using Etests with a minimum inhibitory concentration (MIC). E.coli, C. pneumoniae and Klebsiella oxytoca, P. aeruginosa cells, infections caused by Acinetobacter baumannii, and Acinetobacter spp. other infections caused by cefotaxime and ceftazidime were tested to varying degrees resistance.