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10.1128/AAC.00089-21

http://scihub22266oqcxt.onion/10.1128/AAC.00089-21
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suck abstract from ncbi


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pmid34060900      Antimicrob+Agents+Chemother 2021 ; 65 (8): e0008921
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  • Emergence of Resistance to Novel Cephalosporin-beta-Lactamase Inhibitor Combinations through the Modification of the Pseudomonas aeruginosa MexCD-OprJ Efflux Pump #MMPMID34060900
  • Gomis-Font MA; Pitart C; Del Barrio-Tofino E; Zboromyrska Y; Cortes-Lara S; Mulet X; Marco F; Vila J; Lopez-Causape C; Oliver A
  • Antimicrob Agents Chemother 2021[Jul]; 65 (8): e0008921 PMID34060900show ga
  • A ceftolozane-tazobactam- and ceftazime-avibactam-resistant Pseudomonas aeruginosa isolate was recovered after treatment (including azithromycin, meropenem, and ceftolozane-tazobactam) from a patient that had developed ventilator-associated pneumonia after COVID-19 infection. Whole-genome sequencing revealed that the strain, belonging to ST274, had acquired a nonsense mutation leading to truncated carbapenem porin OprD (W277X), a 7-bp deletion (nt213Delta7) in NfxB (negative regulator of the efflux pump MexCD-OprJ), and two missense mutations (Q178R and S133G) located within the first large periplasmic loop of MexD. Through the construction of mexD mutants and complementation assays with wild-type nfxB, it was evidenced that resistance to the novel cephalosporin-beta-lactamase inhibitor combinations was caused by the modification of MexD substrate specificity.
  • |*COVID-19[MESH]
  • |*Pseudomonas Infections/drug therapy[MESH]
  • |Anti-Bacterial Agents/pharmacology/therapeutic use[MESH]
  • |Cephalosporinase[MESH]
  • |Cephalosporins/pharmacology[MESH]
  • |Humans[MESH]
  • |Microbial Sensitivity Tests[MESH]
  • |Pseudomonas[MESH]
  • |Pseudomonas aeruginosa/genetics[MESH]
  • |SARS-CoV-2[MESH]


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