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Antimicrobial Agents and Chemotherapy, March 1999, p. 630-633, Vol. 43, No. 3
Center for Research in Anti-Infectives and
Biotechnology, Department of Medical Microbiology, Creighton
University School of Medicine, Omaha, Nebraska 68178
Received 21 May 1998/Returned for modification 1 September
1998/Accepted 14 December 1998
A study was designed to determine if an isogenic panel of
Escherichia coli strains containing many different
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Copyright © 1999, American Society for Microbiology. All rights reserved.
Use of an Isogenic Escherichia coli
Panel To Design Tests for Discrimination of
-Lactamase
Functional Groups of Enterobacteriaceae
-lactamases could be used for the preliminary screening of a large
number of
-lactam agents to identify which might be most useful in
the development of a definitive test for specific
-lactamases found among the members of family Enterobacteriaceae. The
susceptibilities of 46 strains, comprising the isogenic panel, to
expanded-spectrum cephalosporins, cephamycins, and aztreonam were
determined in the presence and absence of
-lactamase inhibitors in
broth microdilution tests. The results indicated that strains producing
extended-spectrum
-lactamases (ESBLs) could be distinguished from
strains producing other Bush-Jacoby-Medeiros functional group 2 or
group 1
-lactamases. For strains producing group 1
-lactamases,
cefpodoxime and ceftazidime MICs were
4 µg/ml and addition of
clavulanate did not reduce the MICs more than fourfold. For strains
producing group 2 enzymes other than ESBLs, cefpodoxime and ceftazidime
MICs were
2 µg/ml. With a single exception (ceftazidime for the
strain producing SHV-3), among strains producing ESBLs, cefpodoxime and
ceftazidime MICs were
4 µg/ml and addition of clavulanate reduced
the MICs by more than eightfold. Cephamycins could also be used to
discriminate between strains producing group 1
-lactamases and
ESBLs, since only the former required cefotetan concentrations as high
as 8 µg/ml or cefoxitin concentrations of >16 µg/ml for
inhibition. Other cephalosporins provided some discrimination between
the various
-lactamase producers, although they were not as reliable as either cefpodoxime or ceftazidime. These results indicate the utility of an isogenic panel for identification of candidate drugs among many for further testing with clinical isolates of the family Enterobacteriaceae to determine the best agents for
detection of specific
-lactamases in this family.
*
Corresponding author. Mailing address: Center for
Research in Anti-Infectives and Biotechnology, Department of Medical
Microbiology, Creighton University School of Medicine, 2500 California
Plaza, Omaha, NE 68178. Phone: (402) 280-1881. Fax: (402) 280-1225. E-mail: antone{at}creighton.edu.
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