Emergence of resistance in gram-negative bacteria during therapy with expanded-spectrum cephalosporins View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1987-08

AUTHORS

D. L. Dworzack, M. P. Pugsley, C. C. Sanders, E. A. Horowitz

ABSTRACT

To assess the clinical importance of emergence of beta-lactam resistance caused by stable derepression of chromosomal beta-lactamases, sequential cultures from patients treated with expanded-spectrum cephalosporins were monitored for the persistence of bacteria possessing these enzymes. Antibiotic susceptibilities and beta-lactamase production before and after cefoxitin induction were determined in sequential isolates of individual bacterial strains. Of 49 strains isolated from 44 patients, 25 strains (51%) were eradicated by cephalosporin therapy, 17 strains (35%) persisted with unchanged susceptibility in sequential cultures, and 7 strains (14%) from 7 patients developed multiple beta-lactam resistance during cephalosporin therapy. In 6 of the 7 strains, resistance was associated with stable derepression of beta-lactamases. In the patient group whose strains developed resistance, subsequent use of non-beta-lactam antibiotics was more frequent and mortality was higher. More... »

PAGES

456-459

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02013110

DOI

http://dx.doi.org/10.1007/bf02013110

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003507745

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/3499316


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