Outer membrane protein changes and efflux pump expression together may confer resistance to ertapenem in Enterobacter
Dóra Szabó1, Fernanda Silveira, Andrea M Hujer
1Division of Infectious Diseases, University of Pittsburgh Medical Center, PA 15213, USA.
Antimicrobial Agents and Chemotherapy
|July 28, 2006
Abstract:
We investigated ertapenem-susceptible and -resistant extended-spectrum beta-lactamase-producing Enterobacter cloacae isolates obtained from the same patient. Gene transcription of OmpD and OmpF was diminished in the ertapenem-resistant isolate. An efflux pump inhibitor decreased the MICs of ertapenem in the resistant strain, suggesting a potential role of efflux pumps in ertapenem resistance.
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