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首页> 外文期刊>Antimicrobial agents and chemotherapy. >KPC-Producing klebsiella pneumoniae strains that harbor AAC(6')-
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KPC-Producing klebsiella pneumoniae strains that harbor AAC(6')-

机译:带有KAC的带有AAC(6')-的肺炎克雷伯菌菌株

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摘要

The aminoglycoside-modifying enzyme AAC(6')-Ib is common among carbapenem-resistant Klebsiella pneumoniae (CR-Kp) strains. We investigated amikacin (AMK) activity against 20 AAC(6')-Ib-producing CR-Kp strains. MICs clustered at 16 to 32 μg/ml. By the time-kill study, AMK (1× and 4×the MIC) was bactericidal against 30% and 85% of the strains, respectively. At achievable human serum concentrations, however, the majority of strains showed regrowth, suggesting that AAC(6')-Ib confers intermediate AMK resistance. AMK and trimethoprim-sulfamethoxazole (TMP-SMX) were synergistic against 90% of the strains, indicating that the combination may overcome resistance.
机译:氨基糖苷修饰酶AAC(6')-Ib在耐碳青霉烯类的肺炎克雷伯菌(CR-Kp)菌株中很常见。我们调查了对20个AAC(6')-Ib产生CR-Kp菌株的丁胺卡那霉素(AMK)活性。 MIC聚集在16到32μg/ ml之间。通过时间杀灭研究,AMK(1倍和4倍MIC)分别针对30%和85%的菌株杀菌。然而,在可达到的人血清浓度下,大多数菌株显示出再生长,表明AAC(6')-Ib赋予中等AMK抗性。 AMK和甲氧苄啶-磺胺甲基恶唑(TMP-SMX)对90%的菌株具有协同作用,表明该组合可克服耐药性。

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