Does high level production of SHV-type penicillinase confer resistance to ceftazidime in Enterobacteriaceae?

FEMS Microbiol Lett. 1992 Apr 1;71(1):89-94. doi: 10.1016/0378-1097(92)90547-2.

Abstract

We report the isolation of a clinical isolate of Klebsiella pneumoniae that showed resistance to ceftazidime (MIC: 8 micrograms/ml), susceptibility to aztreonam (MIC: 2 micrograms/ml) and cefotaxime (MIC: 0.015 micrograms/ml). A synergistic effect between clavulanic acid and ceftazidime or aztreonam against this strain was also observed. The strain hyperproduced SHV-1 penicillinase (990 U/g) which is encoded by a self-transferrable plasmid of at least 150 kb. That the ceftazidime-resistance phenotype could be due to hyperproduction of SHV-1 penicillinase is supported by the study of a spontaneous ceftazidime-resistant mutant in vitro obtained from an Escherichia coli strain containing plasmid p453 encoding the SHV-1. Indeed, this mutant hyperproducing SHV-1 (2200 U/g) was resistant to ceftazidime (MIC: 16 micrograms/ml) and aztreonam (MIC: 8 micrograms/ml) but susceptible to cefotaxime (MIC: 0.03 ng/ml). Clavulanic acid showed a synergistic effect when associated with ceftazidime or aztreonam. In contrast, the hyperproduction of TEM-1 (790 U/g) did not confer a ceftazidime- and aztreonam-resistant phenotype while hyperproduction of both TEM-1 and SHV-1 increased the resistance to amoxycillin/clavulanic acid and to cephalothin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ceftazidime / pharmacology*
  • Clavulanic Acid
  • Clavulanic Acids / pharmacology
  • Drug Interactions
  • Drug Resistance, Microbial*
  • Drug Therapy, Combination
  • Enterobacteriaceae / drug effects
  • Klebsiella pneumoniae / drug effects*
  • beta-Lactamases / metabolism*

Substances

  • Clavulanic Acids
  • Clavulanic Acid
  • Ceftazidime
  • beta-lactamase PIT-2
  • beta-Lactamases