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High-level resistance to meropenem in clinical isolates of Pseudomonas aeruginosa in the absence of carbapenemases: role of active efflux and porin alterations

Highlights • P. aeruginosa from cystic fibrosis patients show high-level carbapenem resistance. • Meropenem was less active than imipenem against these isolates. • No carbapenemases were detected in these isolates. • Resistance mechanisms involved efflux overexpression and absence of OprD porin....

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Published in:International journal of antimicrobial agents 2016-12, Vol.48 (6), p.740-743
Main Authors: Chalhoub, Hussein, Sáenz, Yolanda, Rodriguez-Villalobos, Hector, Denis, Olivier, Kahl, Barbara C, Tulkens, Paul M, Van Bambeke, Françoise
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cited_by cdi_FETCH-LOGICAL-c498t-55abb8b89742b1a4158d0c400dea045dccbfc6b8463d1fa863a0872e1af99f903
cites cdi_FETCH-LOGICAL-c498t-55abb8b89742b1a4158d0c400dea045dccbfc6b8463d1fa863a0872e1af99f903
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container_issue 6
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container_title International journal of antimicrobial agents
container_volume 48
creator Chalhoub, Hussein
Sáenz, Yolanda
Rodriguez-Villalobos, Hector
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Tulkens, Paul M
Van Bambeke, Françoise
description Highlights • P. aeruginosa from cystic fibrosis patients show high-level carbapenem resistance. • Meropenem was less active than imipenem against these isolates. • No carbapenemases were detected in these isolates. • Resistance mechanisms involved efflux overexpression and absence of OprD porin.
doi_str_mv 10.1016/j.ijantimicag.2016.09.012
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subjects Anti-Bacterial Agents - pharmacology
beta-Lactamases - analysis
beta-Lactamases - genetics
Carbapenemase
Cystic fibrosis
Electrophoresis, Polyacrylamide Gel
Enzyme Inhibitors - metabolism
Gene Expression Profiling
Hospital-acquired pneumonia
Humans
Infectious Disease
MexAB–OprM
Microbial Sensitivity Tests
OprD
Pneumonia, Bacterial - microbiology
Polymerase Chain Reaction
Porins - genetics
Porins - metabolism
Pseudomonas aeruginosa - drug effects
Pseudomonas aeruginosa - isolation & purification
Pseudomonas Infections - microbiology
Sequence Analysis, DNA
Thienamycins - pharmacology
title High-level resistance to meropenem in clinical isolates of Pseudomonas aeruginosa in the absence of carbapenemases: role of active efflux and porin alterations
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