Emergence of Carbapenem Resistance inPseudomonas aeruginosaIsolates from a Patient with Cystic Fibrosis in the Absence of Carbapenem Therapy
Author(s) -
Daniel J. Wolter,
Dee Acquazzino,
Richard V. Goering,
Paul H. Sammut,
Noha Khalaf,
Nancy D. Hanson
Publication year - 2008
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/588484
Subject(s) - pseudomonas aeruginosa , cystic fibrosis , carbapenem , medicine , microbiology and biotechnology , drug resistance , antibiotics , bacteria , biology , genetics
The emergence of carbapenem-resistant Pseudomonas aeruginosa in the lung of a patient with cystic fibrosis was evaluated. A single strain of P. aeruginosa persisted during a 3-year study despite antipseudomonal treatment. A stepwise decrease in carbapenem susceptibility leading to resistance was observed in the absence of carbapenem treatment. These data suggest that chronic exposure to unrelated drug classes may be an important determinant for the emergence of carbapenem resistance in P. aeruginosa.
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