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Selection Frequency of Resistant Variants by Variousβ-Lactam Antibiotics in ClinicalEnterobacter cloacaeIsolates

 

作者: Karl-Heinz Büscher,   Wolfgang Cullmann,   Wolfgang Dick,   Michaela Stieglitz,  

 

期刊: Chemotherapy  (Karger Available online 1987)
卷期: Volume 33, issue 1  

页码: 40-51

 

ISSN:0009-3157

 

年代: 1987

 

DOI:10.1159/000238474

 

出版商: S. Karger AG

 

关键词: β-Lactamase-overproducing variants;Outer membrane proteins;Selection of resistant variants;Derepression ofβ-lactamase;Penams;Cephems;Imipenem

 

数据来源: Karger

 

摘要:

The frequency of selection of resistant variants by 10 different broad-spectrum β-lactam derivatives was evaluated for 10 clinical Enterobacter cloacae isolates. With respect to most penams or cephems, resistant variants could be selected up to 8- or 32-fold the MIC, respectively. However, with cefpirome as the selecting agent resistant variants were obtained only at twice the MIC, whereas resistant variants were barely detectable with temocillin and not detectable in any case with imipenem. The variants exhibited cross-resistance between penams and cephems including aztreonam, but not to temocillin and imipenem regardless of the β-lactamase amount produced. Enzyme production of the variants ranged from 0.2 U to 19.0 U β-lactamase/mg protein of the cell-free supernatants. Moreover, analysis of the outer membrane protein composition did not reveal marked alterations between wild strains and the corresponding variants. It is evident that ‘overproduction of the chromosomal β-lactamase’ cannot explain entirely phenotypic resistance to broad-spectrum β-lactam compounds, but a lack of porin production, i.e. major outer membrane proteins, cannot provide an explanation for the above

 

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