Emergence of resistance to cefamandole: possible role of cefoxitin-inducible beta-lactamases.

Abstract:

:Selection of resistance to cefamandole has been observed, and the drug has failed to protect animals lethally infected with certain Enterobacteriaceae that appeared to be highly susceptible in vitro. Using spectrophotometric assays, some of these organisms were found to produce beta-lactamases highly active against cefamandole. Cefoxitin, a poor enzyme substrate, was found to be superior to both cephalothin and cefamandole in induction of these enzymes. A simple disk induction test was developed and used to examine 147 Enterobacteriaceae for production of these beta-lactamases. The enzymes were found in 69% of cephalothin-resistant, cefamandole-susceptible strains and in only 3% of strains susceptible to both cephalothin and cefamandole. They were most prevalent among isolates of Enterobacter, indole-positive Proteus, and Serratia. Since selection of resistance and therapeutic failures have occurred most often among these genera, the relationship between presence of inducible enzymes and outcome of therapy should be examined further in humans.

authors

Sanders CC,Sanders WE Jr

doi

10.1128/aac.15.6.792

subject

Has Abstract

pub_date

1979-06-01 00:00:00

pages

792-7

issue

6

eissn

0066-4804

issn

1098-6596

journal_volume

15

pub_type

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