Article
Levofloxacin-induced MexS mutation triggers imipenem-relebactam resistance in a KPC-producing Pseudomonas aeruginosa.
International journal of antimicrobial agents - 1 May 2024
Wang Leilei, Zhou Xun, Lu Yanyan, Zhang Xuefei, Jiang Jianping, Sun Zhewei, Yin Mengyun, Doi Yohei, Wang Minggui, Guo Qinglan, Yang Fan
Abstract excerpt
OBJECTIVES: Imipenem-relebactam (IMR), a novel β-lactam/β-lactamase inhibitor combination, is recommended for infections caused by difficult-to-treat Pseudomonas aeruginosa. This study aimed to investigate the evolution trajectory of IMR resistance under the selection of levofloxacin in P. aeruginosa. METHODS: Antimicrobial susceptibility testing, complete genome sequencing and gene manipulation experiments were...
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