Fluoroquinolone enhances the mutation frequency for meropenem-selected carbapenem resistance in Pseudomonas aeruginosa, but use of the high-potency drug doripenem inhibits mutant formation

被引:66
作者
Tanimoto, Koichi [2 ]
Tomita, Haruyoshi [1 ]
Fujimoto, Shuhei [1 ]
Okuzumi, Katsuko [3 ]
Ike, Yasuyoshi [1 ,2 ]
机构
[1] Gunma Univ, Grad Sch Med, Dept Bacteriol, Gunma 3718511, Japan
[2] Gunma Univ, Grad Sch Med, Lab Bacteria Drug Resistance, Gunma 3718511, Japan
[3] Dokkyo Med Univ Hosp, Dept Safety Med, Adm Div Infect Control, Shimotsuga, Tochigi 3210293, Japan
关键词
D O I
10.1128/AAC.00464-08
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The mutation frequency for carbapenem resistance in Pseudomonas aeruginosa strains that were selected with carbapenems was enhanced in the presence of subinhibitory concentrations of fluoroquinolones. The mutants showed either a loss of OprD activity or increased mexAB-oprM expression. The highest mutant isolation frequency was obtained by selection with meropenem, while doripenem inhibited mutant growth.
引用
收藏
页码:3795 / 3800
页数:6
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