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Antibiotics disrupt the intestinal microbiota, rendering patients vulnerable to colonization by exogenous pathogens. Intermicrobial interactions may attenuate this effect. Incubation with ceftriaxone-resistant,ccrA -positive, β-lactamase-producingBacteroides strains raised the minimum bactericidal concentration of ceftriaxone required to kill a susceptibleEscherichia coli strain (mean change, &lt;0.25 to 29 mg/liter;P = 0.009); incubation with ceftriaxone-resistant but non-β-lactamase-producingBacteroides strains had no effect. The production of β-lactamase by common members of the intestinal microbiota (Bacteroides ) can protect susceptible fellow commensals from β-lactams.

Metallo-β-Lactamase-Producing Bacteroides Species Can Shield Other Members of the Gut Microbiota from Antibiotics