Abstract:
:The aim of this work was to determine whether diazepam could induce the multiple antibiotic resistance (Mar) phenotype in Klebsiella pneumoniae and Escherichia coli strains. The Mar phenotype is characterized by decreased susceptibility to multiple antibiotics due to the loss of porins and/or increased expression of active efflux systems. The effect of subinhibitory concentrations of diazepam on the susceptibility of different antimicrobial agents, outer-membrane protein expression and norfloxacin intracellular accumulation was studied. The results revealed that diazepam concentrations equal or twice adult dosage induced the same Mar phenotype as two well known E. coli marRAB inducers, sodium salicylate and sodium benzoate. Susceptibility to norfloxacin in a K. pneumoniae clinical isolate and E. coli strain Ag100 decreased due to enhanced active efflux and loss of porin expression. A decreased susceptibility to chloramphenicol, tetracycline, nalidixic acid and beta-lactam antibiotics was also observed. In conclusion, like sodium salicylate or sodium benzoate, diazepam may induce the Mar phenotype.
journal_name
J Med Microbioljournal_title
Journal of medical microbiologyauthors
Tavío MM,Vila J,Perilli M,Casañas LT,Maciá L,Amicosante G,Jiménez de Anta MTdoi
10.1099/jmm.0.45613-0keywords:
subject
Has Abstractpub_date
2004-11-01 00:00:00pages
1119-1122issue
Pt 11eissn
0022-2615issn
1473-5644journal_volume
53pub_type
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