Emergence of Ceftolozane-Tazobactam-Resistant Pseudomonas aeruginosa during Treatment Is Mediated by a Single AmpC Structural Mutation
Author(s) -
Shawn H. MacVane,
Ruchi Pandey,
Lisa L. Steed,
Barry N. Kreiswirth,
Liang Chen
Publication year - 2017
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01183-17
Subject(s) - pseudomonas aeruginosa , cephalosporin , microbiology and biotechnology , tazobactam , biology , antibiotics , bacteria , piperacillin , genetics
Ceftolozane-tazobactam is a cephalosporin-β-lactamase inhibitor combination that exhibits potentin vitro activity againstPseudomonas aeruginosa , including strains that are resistant to other β-lactams. The emergence of ceftolozane-tazobactam resistance among clinical isolates ofP. aeruginosa has rarely been described. Here we characterized ceftolozane-tazobactam-resistantP. aeruginosa strains recovered from a patient who was treated with this agent for 6 weeks for a recurrent wound infection. The results showed that the resistance was mediated by a single AmpC structural mutation.
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