Complex studies of the intramolecular versus intermolecular hydrogen bond equilibrium and internal rotation of the N,N‐diethylamine group in 2‐hydroxy‐N,N‐diethylbenzamide were conducted. The intramolecular versus intermolecular process in 2‐hydroxy‐N,N‐diethylbenzamide was studied by UV–Vis, NMR, IR and Vapour Pressure Osmometric (VPO) methods as a function of temperature and concentration in non‐polar, basic and protic solvents. The unequal positions of the ethyl groups were analysed and the energy barrier to the re‐orientation was defined by the NMR method. This paper presents a study into a complicated nature of competitive interaction 2‐hydroxy‐N,N‐diethylbenzamide with the environment by means of the aforesaid methods. Copyright © 2008 John Wiley & Sons, Ltd.

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Background The growing incidence of MDR Gram-negative bacteria is a rapidly emerging challenge in modern medicine. Objectives We sought to establish the role of intrinsic drug-resistance regulators in combination with specific genetic mutations in 11 Enterobacter cloacae isolates obtained from a single patient within a 7 week period. Methods The molecular characterization of eight carbapenem-resistant and three carbapenem-susceptible E. cloacae ST89 isolates included expression-level analysis and WGS. Quantitative PCR included: (i) chromosomal cephalosporinase gene (ampC); (ii) membrane permeability factor genes, e.g. ompF, ompC, acrA, acrB and tolC; and (iii) intrinsic regulatory genes, e.g. ramA, ampR, rob, marA and soxS, which confer reductions in antibiotic susceptibility. Results In this study we describe the influence of the alterations in membrane permeability (ompF and ompC levels), intrinsic regulatory genes (ramA, marA, soxS) and intrinsic chromosomal cephalosporinase AmpC on reductions in carbapenem susceptibility of E. cloacae clinical isolates. Interestingly, only the first isolate possessed the acquired VIM-4 carbapenemase, which has been lost in subsequent isolates. The remaining XDR E. cloacae ST89 isolates presented complex carbapenem-resistance pathways, which included perturbations in permeability of bacterial membranes mediated by overexpression of ramA, encoding an AraC/XylS global regulator. Moreover, susceptible isolates differed significantly from other isolates in terms of marA down-regulation and soxS up-regulation. Conclusions Molecular mechanisms of resistance among carbapenem-resistant E. cloacae included production of acquired VIM-4 carbapenemase, significant alterations in membrane permeability due to increased expression of ramA, encoding an AraC/XylS global regulator, and the overproduction of chromosomal AmpC cephalosporinase.

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