Frequency of in vitro resistance of Pseudomonas aeruginosa to cefepime, ceftazidime, and cefotaxime

Antimicrob Agents Chemother. 1988 Sep;32(9):1443-5. doi: 10.1128/AAC.32.9.1443.

Abstract

The selection frequencies of cefepime (BMY 28142), ceftazidime, and cefotaxime resistance among Pseudomonas aeruginosa strains were determined. Cefepime-resistant mutants were not selected by cefepime (frequency, less than 10(-11)). Ceftazidime- and cefotaxime-resistant mutants were isolated at frequencies of 10(-5) to 10(-10) and were often cross-resistant. However, cefepime resistance among ceftazidime- and cefotaxime-resistant mutants was rare. Selected mutants resistant to cefepime constitutively produced 40- to 450-fold more beta-lactamase than did the parent strain.

MeSH terms

  • Cefepime
  • Cefotaxime / pharmacology*
  • Ceftazidime / pharmacology*
  • Cephalosporins / pharmacology*
  • Drug Resistance, Microbial
  • Pseudomonas aeruginosa / drug effects*
  • Selection, Genetic

Substances

  • Cephalosporins
  • Cefepime
  • Ceftazidime
  • Cefotaxime