Abstract
Ceftazidime is one of the few cephalosporins with activity against Pseudomonas aeruginosa Using whole-genome comparative analysis, we set out to determine the prevalent mechanism(s) of resistance to ceftazidime (CAZ) using a set of 181 clinical isolates. These isolates represented various multilocus sequence types that consisted of both ceftazidime-susceptible and -resistant populations. A presumptive resistance mechanism against ceftazidime was identified in 88% of the nonsusceptible isolates using this approach.
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MeSH terms
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Amino Acid Sequence
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Anti-Bacterial Agents / pharmacology
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Bacterial Proteins / genetics*
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Ceftazidime / pharmacology
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Citrobacter freundii / genetics
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Gene Expression Regulation, Bacterial*
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Genome, Bacterial*
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Genotype
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Humans
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Microbial Sensitivity Tests
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Multilocus Sequence Typing
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N-Acetylmuramoyl-L-alanine Amidase / genetics*
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Pseudomonas Infections / microbiology
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Pseudomonas aeruginosa / drug effects
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Pseudomonas aeruginosa / genetics*
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Pseudomonas aeruginosa / growth & development
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Pseudomonas aeruginosa / isolation & purification
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Sequence Alignment
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beta-Lactam Resistance / genetics*
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beta-Lactamases / genetics*
Substances
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Anti-Bacterial Agents
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Bacterial Proteins
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Ceftazidime
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AmpD protein, Bacteria
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N-Acetylmuramoyl-L-alanine Amidase
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AmpC beta-lactamases
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beta-Lactamases