Title |
In Vivo Emergence of Resistance to Novel Cephalosporin–β-Lactamase Inhibitor Combinations through the Duplication of Amino Acid D149 from OXA-2 β-Lactamase (OXA-539) in Sequence Type 235 Pseudomonas aeruginosa
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Published in |
Antimicrobial Agents and Chemotherapy, August 2017
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DOI | 10.1128/aac.01117-17 |
Pubmed ID | |
Authors |
Pablo A. Fraile-Ribot, Xavier Mulet, Gabriel Cabot, Ester del Barrio-Tofiño, Carlos Juan, José L. Pérez, Antonio Oliver |
Abstract |
Resistance development to novel cephalosporin-β-lactamase inhibitor combinations during ceftazidime treatment of a surgical infection by Pseudomonas aeruginosa was investigated. Both, initial (97C2) and final (98G1) isolates, belonged to the high-risk clone ST235 and were resistant to carbapenems (oprD-), fluoroquinolones (GyrA-T83I, ParC-S87L) and aminoglycosides (aacA7/aacA8/aadA6). 98G1 additionally showed resistance to ceftazidime, ceftazidime-avibactam and ceftolozane-tazobactam. Sequencing identified blaOXA-2 in 97C2, but 98G1 contained a 3-bp insertion leading to the duplication of the key residue D149 (designated OXA-539). Evaluation of PAO1 transformants producing cloned OXA-2 or OXA-539 confirmed that D149 duplication was the cause of resistance. Active surveillance of the emergence of resistance to these new valuable agents is warranted. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 64 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 7 | 11% |
Student > Master | 7 | 11% |
Student > Doctoral Student | 7 | 11% |
Other | 6 | 9% |
Researcher | 6 | 9% |
Other | 15 | 23% |
Unknown | 16 | 25% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 20 | 31% |
Biochemistry, Genetics and Molecular Biology | 7 | 11% |
Immunology and Microbiology | 6 | 9% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 6% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 6 | 9% |
Unknown | 19 | 30% |