Cefiderocol Resistance in Acinetobacter baumannii: Roles of β-Lactamases, Siderophore Receptors, and Penicillin Binding Protein 3.

Abstract:

:Cefiderocol is a siderophore cephalosporin active against many multidrug-resistant (MDR) Gram-negative pathogens. We examined the resistance mechanisms in 12 Acinetobacter baumannii strains with cefiderocol MICs ranging from ≤0.03 to >32 μg/ml. Cefiderocol resistance could not be explained by β-lactamase activity. Cefiderocol resistance was associated with reduced expression of the siderophore receptor gene pirA Mutations involving PBP3 may have contributed to resistance in one strain. Additional studies are needed to assess the role of other siderophore receptors.

authors

Malik S,Kaminski M,Landman D,Quale J

doi

10.1128/AAC.01221-20

subject

Has Abstract

pub_date

2020-10-20 00:00:00

issue

11

eissn

0066-4804

issn

1098-6596

pii

AAC.01221-20

journal_volume

64

pub_type

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