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Factors That Influence the Evolution of β-Lactam Resistance in β-Lactamase-Inducible Strains of Enterobacter cloacae and Pseudomonas aeruginosa
Stephen C. Aronoff and David M. Shlaes
The Journal of Infectious Diseases
Vol. 155, No. 5 (May, 1987), pp. 936-941
Published by: Oxford University Press
Stable URL: http://www.jstor.org/stable/30106224
Page Count: 6
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Induction ratios were determined for β-lactamase-inducible strains of Enterobacter cloacae and Pseudomonas aeruginosa by using 10 β-lactam agents. For E. cloacae, pre-incubation with ceftriaxone, cefoxitin, cefamandole, cefoperazone, or imipenem produced significantly larger amounts of β-lactamase than did pre-incubation with moxalactam, clavulanate, ceftazidime, or aztreonam. For P. aeruginosa, imipenem was the best inducer, whereas ceftriaxone, piperacillin, cefoperazone, cefamandole, clavulanate, and aztreonam were poor β-lactamase inducers. The rate of emergence of resistance by E. cloacae p99 and P. aeruginosa ATCC 27853 did not correlate with the induction ratio of the selecting agent; however, a strong correlation was noted between the mutation rate and the ratio of the MIC to the concentration of selecting antibiotic used. Emergence of resistance is related to the MIC of the antibiotic and the concentration of antibiotic used to select for resistance and is independent of the efficacy of the β-lactam inducer. Resistant mutants arise through both β-lactamase-dependent and -independent mechanisms.
The Journal of Infectious Diseases © 1987 Oxford University Press