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Characterisation of a novel AmpC beta-lactamase, DHA-33, resistant to inhibition by cloxacillin

Published inDiagnostic microbiology and infectious disease, vol. 109, no. 4, 116356
Publication date2024-08
First online date2024-05-20
Abstract

Plasmid-encoded DHA-type AmpCs have been extensively reported in Enterobacterales. The expression of the genes encoding these plasmid-mediated enzymes are inducible and these enzymes are capable of conferring resistance to a wide spectrum of beta-lactams including penicillins and broad-spectrum cephalosporins. The identification of infections caused by AmpC-producing bacteria is a necessity, both for infection control/epidemiology purposes and to inform treatment choices. A common testing method for AmpC production in the clinical laboratory setting is to supplement Mueller-Hinton agar plates used for antibiotic disk diffusion with cloxacillin, a potent inhibitor of AmpC enzymes. Here we describe a novel DHA variant, produced by a clinical Escherichia coli isolate, which is resistant to cloxacillin inhibition.

Keywords
  • AmpC
  • Cloxacillin
  • DHA
  • Escherichia coli
Citation (ISO format)
FINDLAY, Jacqueline et al. Characterisation of a novel AmpC beta-lactamase, DHA-33, resistant to inhibition by cloxacillin. In: Diagnostic microbiology and infectious disease, 2024, vol. 109, n° 4, p. 116356. doi: 10.1016/j.diagmicrobio.2024.116356
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Journal ISSN0732-8893
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