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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 |
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container_end_page | 743 |
container_issue | 6 |
container_start_page | 740 |
container_title | International journal of antimicrobial agents |
container_volume | 48 |
creator | Chalhoub, Hussein Sáenz, Yolanda Rodriguez-Villalobos, Hector Denis, Olivier Kahl, Barbara C 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 |
format | article |
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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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