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Antimicrobial Agents and Chemotherapy, July 2009, p. 3159-3161, Vol. 53, No. 7
0066-4804/09/$08.00+0 doi:10.1128/AAC.00133-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Division of Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania,1 Centre for Clinical Research, University of Queensland, Royal Brisbane and Women's Hospital, Brisbane, Australia,2 Research Services, Louis Stokes Cleveland Department of Veteran Affairs Medical Center, Cleveland, Ohio,3 Departments of Medicine,4 Pharmacology,5 Molecular Biology and Microbiology, Case School of Medicine, Cleveland, Ohio6
Received 29 January 2009/ Returned for modification 14 March 2009/ Accepted 26 April 2009
Here we describe three Escherichia coli clinical isolates with reduced susceptibility to cefepime. Sequencing of the blaCMY genes revealed two novel variants (CMY-33 and -44) with two- to four-amino-acid deletions in the H-10 helix. The deletions were responsible for 12- to 24-fold increases in the MICs of cefepime.
Published ahead of print on 4 May 2009.
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