Unusual Escherichia coli PBP 3 Insertion Sequence Identified from a Collection of Carbapenem-Resistant Enterobacteriaceae Tested In Vitro with a Combination of Ceftazidime-, Ceftaroline-, or Aztreonam-Avibactam

Author:

Zhang Yunliang1,Kashikar Ankita1,Brown C. Adam1,Denys Gerald2,Bush Karen1ORCID

Affiliation:

1. Indiana University, Bloomington, Indiana, USA

2. Indiana University School of Medicine, Indianapolis, Indiana, USA

Abstract

ABSTRACT Carbapenemase-producing Enterobacteriaceae isolates ( n = 110) from health care centers in central Indiana (from 2010 to 2013) were tested for susceptibility to combinations of avibactam (4 μg/ml) with ceftazidime, ceftaroline, or aztreonam. MIC 50 /MIC 90 values were 1/2 μg/ml (ceftazidime-avibactam), 0.5/2 μg/ml (ceftaroline-avibactam), and 0.25/0.5 μg/ml (aztreonam-avibactam.) A β-lactam MIC of 8 μg/ml was reported for the three combinations against one Escherichia coli isolate with an unusual TIPY insertion following Tyr344 in penicillin-binding protein 3 (PBP 3) as the result of gene duplication.

Funder

Allergan, Plc

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference24 articles.

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2. World Health Organization. 2014. Antimicrobial resistance: global report on surveillance 2014. World Health Organization,Geneva, Switzerland.

3. Carbapenemase-Producing Enterobacteriaceae

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5. In VitroSusceptibility of Characterized β-Lactamase-Producing Strains Tested with Avibactam Combinations

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