Elucidation of Mechanisms of Ceftazidime Resistance among Clinical Isolates of Pseudomonas aeruginosa by Using Genomic Data

Antimicrob Agents Chemother. 2016 May 23;60(6):3856-61. doi: 10.1128/AAC.03113-15. Print 2016 Jun.

Abstract

Ceftazidime is one of the few cephalosporins with activity against Pseudomonas aeruginosa Using whole-genome comparative analysis, we set out to determine the prevalent mechanism(s) of resistance to ceftazidime (CAZ) using a set of 181 clinical isolates. These isolates represented various multilocus sequence types that consisted of both ceftazidime-susceptible and -resistant populations. A presumptive resistance mechanism against ceftazidime was identified in 88% of the nonsusceptible isolates using this approach.

MeSH terms

  • Amino Acid Sequence
  • Anti-Bacterial Agents / pharmacology
  • Bacterial Proteins / genetics*
  • Ceftazidime / pharmacology
  • Citrobacter freundii / genetics
  • Gene Expression Regulation, Bacterial*
  • Genome, Bacterial*
  • Genotype
  • Humans
  • Microbial Sensitivity Tests
  • Multilocus Sequence Typing
  • N-Acetylmuramoyl-L-alanine Amidase / genetics*
  • Pseudomonas Infections / microbiology
  • Pseudomonas aeruginosa / drug effects
  • Pseudomonas aeruginosa / genetics*
  • Pseudomonas aeruginosa / growth & development
  • Pseudomonas aeruginosa / isolation & purification
  • Sequence Alignment
  • beta-Lactam Resistance / genetics*
  • beta-Lactamases / genetics*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Ceftazidime
  • AmpD protein, Bacteria
  • N-Acetylmuramoyl-L-alanine Amidase
  • AmpC beta-lactamases
  • beta-Lactamases