2015
DOI: 10.1016/j.drup.2015.08.002
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The increasing threat of Pseudomonas aeruginosa high-risk clones

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Cited by 523 publications
(596 citation statements)
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References 203 publications
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“…® /E-test negative which was susceptible to CAZ, but resistant to TIC, TIM, TPZ, FEP could suffer a mutation that causes Mex-EF-OprN hyperproduction combined with OprD downregulation, a mechanism more rarely seen, which primarily affects fluoroquinolones (20). MBLs hydrolyse all β-lactams, except monobactams, whose representative is ATM (23).…”
Section: Genotypic Detection Of Genes Encoding Mbls (Blaimp Blavmentioning
confidence: 99%
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“…® /E-test negative which was susceptible to CAZ, but resistant to TIC, TIM, TPZ, FEP could suffer a mutation that causes Mex-EF-OprN hyperproduction combined with OprD downregulation, a mechanism more rarely seen, which primarily affects fluoroquinolones (20). MBLs hydrolyse all β-lactams, except monobactams, whose representative is ATM (23).…”
Section: Genotypic Detection Of Genes Encoding Mbls (Blaimp Blavmentioning
confidence: 99%
“…All the blaVIM+ strains were resistant to ciprofloxacin while 2 out of 4 blaIMP+ strains were susceptible to ciprofloxacin. It could be explained by presence of multiple mechanisms of resistance, such as the MBL synthesis associated with the expression of efflux pumps MexAB-OprM or MexXY, responsible for associated resistance to fluoroquinolones (20). It is possible that a strain produces more types of carbapenemases.…”
Section: Genotypic Detection Of Genes Encoding Mbls (Blaimp Blavmentioning
confidence: 99%
“…It particularly affects immunocompromised patients or those admitted to the intensive care unit (ICU). P. aeruginosa is the primary pathogenic agent in burn wound infections and ventilator associated pneumonia, both of which are associated with a considerably high (> 30%) mortality rate (1). The bacterium is also responsible for a variety of nosocomial infections, such as urinary tract or wound infections, endocarditis, and bacteremia (2).…”
Section: Introductionmentioning
confidence: 99%
“…Because of the adaptability of P. aeruginosa and its exceptionally good capacity to evade the activity of antimicrobial drugs, this bacterium is one of the most feared pathogens. Today, the increased prevalence of nosocomial infections caused by extreme drug-resistant and multidrug-resistant P. aeruginosa strains considerably limits the selection of proper antibiotics and therefore increases the morbidity and mortality of patients (1,4,5).…”
Section: Introductionmentioning
confidence: 99%
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