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Molecular mechanisms disrupting porin expression in ertapenem-resistant Klebsiella and Enterobacter spp. clinical isolates from the UK

Journal of Antimicrobial Chemotherapy · 2009 · Vol. 63(4) · pp. 659–667

Abstract

Ertapenem resistance was exclusively due to combinations of beta-lactamases with impermeability caused by loss of OMPs. Efflux was not implicated and there was no national spread of resistant clones.

Antibiotic Resistance in BacteriaInfections and bacterial resistanceBacterial Identification and Susceptibility TestingErtapenemMicrobiologyEnterobacter cloacaeBiologyKlebsiella pneumoniaePorinEnterobacterKlebsiellaKlebsiella oxytocaEfflux

MeSH terms

ErtapenemAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasesDNA, BacterialElectrophoresis, Polyacrylamide GelEnterobacterUnited KingdomHumansKlebsiellaMicrobial Sensitivity TestsPolymerase Chain ReactionMutagenesis, InsertionalElectrophoresis, Gel, Pulsed-FieldSequence Analysis, DNA
Citations
435
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10.50
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27
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99%
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References
Multiplex PCR for rapid detection of genes encoding acquired metallo- -lactamases
Journal of Antimicrobial Chemotherapy · 2006 · 599 citations
Multiplex PCR for rapid detection of genes encoding CTX-M extended-spectrum β-lactamases
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Metallo-β-Lactamases: the Quiet before the Storm?
Clinical Microbiology Reviews · 2005 · 1,422 citations
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