Resistance to ceftazidime-avibactam in a KPC-2-producing Klebsiella pneumoniae caused by the extended-spectrum beta-lactamase VEB-25.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_E804F0769A7A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Resistance to ceftazidime-avibactam in a KPC-2-producing Klebsiella pneumoniae caused by the extended-spectrum beta-lactamase VEB-25.
Journal
European journal of clinical microbiology & infectious diseases
Author(s)
Findlay J., Poirel L., Bouvier M., Gaia V., Nordmann P.
ISSN
1435-4373 (Electronic)
ISSN-L
0934-9723
Publication state
Published
Issued date
05/2023
Peer-reviewed
Oui
Volume
42
Number
5
Pages
639-644
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Carbapenem-resistant Enterobacterales, including KPC-producing Klebsiella pneumoniae, represent a major threat to public health due to their rapid spread. The beta-lactam/beta-lactamase inhibitor (BL/BLI) combination ceftazidime-avibactam (CAZ-AVI) has recently been introduced and shown to exhibit excellent activity toward multidrug-resistant KPC-producing Enterobacterales strains. However, CAZ-AVI-resistant K. pneumoniae isolates are being increasingly reported, mostly corresponding to producers of KPC variants that confer resistance to CAZ-AVI but at a cost of carbapenem resistance. We have characterized here, both phenotypically and genotypically, a clinical CAZ-AVI- and carbapenem-resistant KPC-2 K. pneumoniae isolate co-producing the inhibitor-resistant extended-spectrum beta-lactamase VEB-25.
Keywords
Humans, Anti-Bacterial Agents/pharmacology, Anti-Bacterial Agents/therapeutic use, Klebsiella pneumoniae, beta-Lactamases/genetics, Ceftazidime/pharmacology, Drug Combinations, Carbapenem-Resistant Enterobacteriaceae, Carbapenems/pharmacology, beta-Lactamase Inhibitors/pharmacology, beta-Lactamase Inhibitors/therapeutic use, Microbial Sensitivity Tests, Klebsiella Infections/drug therapy, Klebsiella Infections/microbiology, Bacterial Proteins/genetics, Ceftazidime-avibactam, KPC, VEB
Pubmed
Web of science
Open Access
Yes
Create date
13/03/2023 11:31
Last modification date
23/01/2024 8:36
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