| Literature DB >> 34606331 |
Agnès B Jousset1,2,3,4, Saoussen Oueslati1,3, Cécile Emeraud1,2,3,4, Rémy A Bonnin1,2,3, Laurent Dortet1,2,3,4, Bogdan I Iorga5, Thierry Naas1,2,3,4.
Abstract
Resistance to the ceftazidime (CAZ)-avibactam (AVI) combination is increasingly being reported. Here, we report a CAZ-AVI-resistant Klebsiella pneumoniae strain belonging to the high-risk sequence type 307 (ST307) clone and producing Klebsiella pneumoniae carbapenemase 39 (KPC-39), a single-amino-acid variant of KPC-3 (A172T). Cloning experiments, steady-state kinetic parameters, and molecular dynamics simulations revealed a loss of carbapenemase activity and increased affinity for CAZ. KPC-39 was identified in a patient without prior exposure to CAZ-AVI, suggesting silent dissemination in European health care settings.Entities:
Keywords: KPC; avibactam resistance; carbapenemase
Mesh:
Substances:
Year: 2021 PMID: 34606331 PMCID: PMC8597731 DOI: 10.1128/AAC.01160-21
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191