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产KPC-3型肺炎克雷伯菌分离株中头孢他啶-阿维巴坦耐药性的首次报告

First Report of Ceftazidime-Avibactam Resistance in a KPC-3-Expressing Klebsiella pneumoniae Isolate.

作者信息

Humphries Romney M, Yang Shangxin, Hemarajata Peera, Ward Kevin W, Hindler Janet A, Miller Shelley A, Gregson Aric

机构信息

Department of Pathology and Laboratory Medicine, University of California, Los Angeles, Los Angeles, California, USA

Department of Pathology and Laboratory Medicine, University of California, Los Angeles, Los Angeles, California, USA.

出版信息

Antimicrob Agents Chemother. 2015 Oct;59(10):6605-7. doi: 10.1128/AAC.01165-15. Epub 2015 Jul 20.

DOI:10.1128/AAC.01165-15
PMID:26195508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4576121/
Abstract

Ceftazidime-avibactam is the first antimicrobial approved by the U.S. FDA for the treatment of carbapenem-resistant Enterobacteriaceae. Avibactam, a non-β-lactam β-lactamase inhibitor, inactivates class A serine carbapenemases, including Klebsiella pneumoniae carbapenemase (KPC). We report a KPC-producing K. pneumoniae isolate resistant to ceftazidime-avibactam (MIC, 32/4 μg/ml) from a patient with no prior treatment with ceftazidime-avibactam.

摘要

头孢他啶-阿维巴坦是美国食品药品监督管理局(FDA)批准用于治疗耐碳青霉烯类肠杆菌科细菌的首个抗菌药物。阿维巴坦是一种非β-内酰胺类β-内酰胺酶抑制剂,可使包括肺炎克雷伯菌碳青霉烯酶(KPC)在内的A类丝氨酸碳青霉烯酶失活。我们报告了1株产KPC的肺炎克雷伯菌分离株,该菌株对头孢他啶-阿维巴坦耐药(MIC为32/4 μg/ml),分离自1例既往未接受过头孢他啶-阿维巴坦治疗的患者。

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本文引用的文献

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Ceftazidime-avibactam activity tested against Enterobacteriaceae isolates from U.S. hospitals (2011 to 2013) and characterization of β-lactamase-producing strains.针对从美国医院分离出的肠杆菌科细菌(2011年至2013年)进行的头孢他啶-阿维巴坦活性测试以及产β-内酰胺酶菌株的特征分析。
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Avibactam and inhibitor-resistant SHV β-lactamases.阿维巴坦与耐抑制剂的SHVβ-内酰胺酶
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Variants of β-lactamase KPC-2 that are resistant to inhibition by avibactam.对阿维巴坦抑制作用具有抗性的β-内酰胺酶KPC-2变体。
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Unexpected challenges in treating multidrug-resistant Gram-negative bacteria: resistance to ceftazidime-avibactam in archived isolates of Pseudomonas aeruginosa.治疗多重耐药革兰氏阴性菌时的意外挑战:铜绿假单胞菌存档菌株对头孢他啶-阿维巴坦的耐药性
Antimicrob Agents Chemother. 2015 Feb;59(2):1020-9. doi: 10.1128/AAC.04238-14. Epub 2014 Dec 1.
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Phenotypic and molecular characteristics of carbapenem-resistant Enterobacteriaceae in a health care system in Los Angeles, California, from 2011 to 2013.2011 年至 2013 年期间,加利福尼亚州洛杉矶某医疗体系中产碳青霉烯类耐药肠杆菌科细菌的表型和分子特征。
J Clin Microbiol. 2014 Nov;52(11):4003-9. doi: 10.1128/JCM.01397-14. Epub 2014 Sep 10.
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Avibactam and class C β-lactamases: mechanism of inhibition, conservation of the binding pocket, and implications for resistance.阿维巴坦与C类β-内酰胺酶:抑制机制、结合口袋的保守性及其对耐药性的影响
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J Antimicrob Chemother. 2014 Nov;69(11):2942-6. doi: 10.1093/jac/dku237. Epub 2014 Jun 30.
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Ann N Y Acad Sci. 2013 Jan;1277:84-90. doi: 10.1111/nyas.12023.
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J Antimicrob Chemother. 2012 Jun;67(6):1354-8. doi: 10.1093/jac/dks079. Epub 2012 Mar 22.