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2
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本文引用的文献

1
In vitro activity of ceftazidime/avibactam against isolates of carbapenem-non-susceptible Enterobacteriaceae collected during the INFORM global surveillance programme (2015-17).在 INFORM 全球监测项目(2015-17 年)期间收集的耐碳青霉烯类肠杆菌科细菌的体外头孢他啶/阿维巴坦活性。
J Antimicrob Chemother. 2020 Feb 1;75(2):384-391. doi: 10.1093/jac/dkz456.
2
Emergence of ceftazidime-avibactam-resistant during treatment, Finland, December 2018.2018 年 12 月,芬兰在治疗期间出现对头孢他啶-阿维巴坦耐药的 。
Euro Surveill. 2019 May;24(19). doi: 10.2807/1560-7917.ES.2019.24.19.1900256.
3
In vivo evolution of resistant subpopulations of KPC-producing Klebsiella pneumoniae during ceftazidime/avibactam treatment.产 KPC 肺炎克雷伯菌在头孢他啶/阿维巴坦治疗期间耐药亚群的体内进化。
J Antimicrob Chemother. 2018 Jun 1;73(6):1525-1529. doi: 10.1093/jac/dky082.
4
Mutations in That Confer Ceftazidime-Avibactam Resistance Encode Novel KPC-3 Variants That Function as Extended-Spectrum β-Lactamases.赋予头孢他啶-阿维巴坦耐药性的突变编码新型KPC-3变体,其作为超广谱β-内酰胺酶发挥作用。
Antimicrob Agents Chemother. 2017 Apr 24;61(5). doi: 10.1128/AAC.02534-16. Print 2017 May.
5
Emergence of Ceftazidime-Avibactam Resistance Due to Plasmid-Borne Mutations during Treatment of Carbapenem-Resistant Klebsiella pneumoniae Infections.耐碳青霉烯类肺炎克雷伯菌感染治疗期间因质粒介导的突变导致头孢他啶-阿维巴坦耐药的出现
Antimicrob Agents Chemother. 2017 Feb 23;61(3). doi: 10.1128/AAC.02097-16. Print 2017 Mar.
6
Circulation of a multiresistant, conjugative, IncA/C plasmid within the nosocomial Providencia stuartii population in the Athens area.一种多重耐药、可接合、IncA/C质粒在雅典地区医院环境中普罗威登斯菌群体内的传播情况。
Diagn Microbiol Infect Dis. 2015 May;82(1):62-4. doi: 10.1016/j.diagmicrobio.2015.02.009. Epub 2015 Feb 23.
7
Avibactam and inhibitor-resistant SHV β-lactamases.阿维巴坦与耐抑制剂的SHVβ-内酰胺酶
Antimicrob Agents Chemother. 2015 Jul;59(7):3700-9. doi: 10.1128/AAC.04405-14. Epub 2015 Feb 17.
8
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。
Antimicrob Agents Chemother. 2015 Jul;59(7):3710-7. doi: 10.1128/AAC.04406-14. Epub 2015 Feb 9.
9
Diversity of acquired β-lactamases amongst Klebsiella pneumoniae in Greek hospitals.希腊医院中肺炎克雷伯菌获得性β-内酰胺酶的多样性。
Int J Antimicrob Agents. 2012 Feb;39(2):178-80. doi: 10.1016/j.ijantimicag.2011.09.024. Epub 2011 Nov 21.
10
Biochemical study of a new inhibitor-resistant beta-lactamase, SHV-84, produced by a clinical Escherichia coli strain.对临床分离的大肠杆菌菌株产生的新型耐抑制剂β-内酰胺酶SHV-84的生化研究。
Antimicrob Agents Chemother. 2010 May;54(5):2271-2. doi: 10.1128/AAC.01442-09. Epub 2010 Mar 8.

2019 年,希腊两家医院检测到一种新型 VEB 酶变体导致的可转移头孢他啶-阿维巴坦耐药,其具有 Lys234Arg 取代,该酶变体与β-内酰胺酶有关。

Detection in two hospitals of transferable ceftazidime-avibactam resistance in due to a novel VEB β-lactamase variant with a Lys234Arg substitution, Greece, 2019.

机构信息

Laboratory of Bacteriology, Hellenic Pasteur Institute, Athens, Greece.

Department of Clinical Microbiology, Thriassio General Hospital, Elefsina, Greece.

出版信息

Euro Surveill. 2020 Jan;25(2). doi: 10.2807/1560-7917.ES.2020.25.2.1900766.

DOI:10.2807/1560-7917.ES.2020.25.2.1900766
PMID:31964461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6976883/
Abstract

Two ceftazidime-avibactam (CAZ-AVI)-resistant carbapenemase (KPC)-positive strains, including one pandrug resistant, were isolated in 2019 from two Greek hospitals. The strains were sequence types (ST)s 258 and 147 and both harboured similar self-transmissible IncA/C2 plasmids encoding a novel Lys234Arg variant of the Vietnamese extended-spectrum β-lactamase (VEB)-1, not inhibited by AVI (VEB-25). Conjugal transfer of VEB-25-encoding plasmids to yielded CAZ-AVI-resistant clones, supporting that VEB-25 is directly linked to the derived phenotype.

摘要

2019 年,从希腊的两家医院中分离出两株耐头孢他啶-阿维巴坦(CAZ-AVI)的碳青霉烯酶(KPC)阳性菌株,其中一株为泛耐药菌株。这两株菌的序列类型(ST)分别为 258 和 147,均携带相似的可自我传播的 IncA/C2 质粒,可编码一种新型越南超广谱β-内酰胺酶(VEB)-1 的 Lys234Arg 变异体,该变异体不受 AVI(VEB-25)抑制。VEB-25 编码质粒向 的接合转移产生了对 CAZ-AVI 耐药的克隆,这表明 VEB-25 与衍生的表型直接相关。