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Thirteen clinical isolates of Escherichia coli resistant to ceftazidime that possessed an AmpC and other (b-lactamases were identified. The effectiveness of different formulations of piperacillin/tazobactam to other b-lactams was compared. Antibiotic susceptibility testing, polymerase chain reaction, amplification of blaTEM, blaSHV and blaAmpC, and enzyme-linked immunosorbent assays to identify AmpC b-lactamases were performed. Hydrolysis rates were obtained and residual enzymatic activity was determined. Cefepime and ertapenem were more active than piperacillin/tazobactam. In contrast, increasing the relative proportion of tazobactam improved susceptibility testing. Twenty micromolar tazobactam inhibited total b-lactamase activity (as measured by nitrocefin hydrolysis rates) by greater than 75% against all isolates tested: in 11 of 13 E. coli isolates, total b-lactamase activity was inhibited by 90%. The observed differences between MIC determinations and susceptibility to enzymatic inactivation by tazobactam against E. coli containing AmpC and other b-lactamases may be due to the final tazobactam concentration achieved in the periplasmic space. Factors determining this are critical considerations in assessing b-lactamase inhibitor potency. |
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zjandzq(½ð±Ò+15, ·ÒëEPI+1):ÇëÎÊEscherichia coli resistant to ceftazidime ·ÒëΪ£ºÄÍÍ·æßËûवĴ󳦸˾úô£¿ 2010-08-12 14:35:38
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2Â¥2010-08-12 14:19:34
anjw_00
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