2006
DOI: 10.1128/aac.00473-06
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Dissemination in Portugal of CTX-M-15-, OXA-1-, and TEM-1-Producing Enterobacteriaceae Strains Containing the aac(6)-Ib-cr Gene, Which Encodes an Aminoglycoside- and Fluoroquinolone-Modifying Enzyme

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Cited by 96 publications
(60 citation statements)
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“…AmpC production was confirmed by means of the antibiogram profile and by the detection of the bla CMY-2 gene through PCR. The presence of this gene enables this strain to be resistant to AMC, as AmpC-type beta-lactamase producing bacteria can inhibit the action of clavulanate (MACHADO et al, 2006;TOUATI et al, 2008;MINARINI et al, 2008;CRÉMET et al, 2011;PANIAGUA et al, 2010;HUANG et al, 2009;MAHROUKI et al, 2013).…”
Section: Resultsmentioning
confidence: 99%
“…AmpC production was confirmed by means of the antibiogram profile and by the detection of the bla CMY-2 gene through PCR. The presence of this gene enables this strain to be resistant to AMC, as AmpC-type beta-lactamase producing bacteria can inhibit the action of clavulanate (MACHADO et al, 2006;TOUATI et al, 2008;MINARINI et al, 2008;CRÉMET et al, 2011;PANIAGUA et al, 2010;HUANG et al, 2009;MAHROUKI et al, 2013).…”
Section: Resultsmentioning
confidence: 99%
“…A multicountry study reported that carbapenems are the treatment of choice for infections caused by ESBL-producing K. pneumoniae (26). Coresistance to several antimicrobial agents has often been described for CTX-M-producing isolates (27,28). These arrays of resistance genes confer a multidrug resistance phenotype that can be transferred horizontally (28).…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, co-expression of multiple resistance genes allows bacteria to sustain antimicrobial selection pressure; hence, clonal expansion of multidrug-resistant strains is possible under favorable conditions (14). Combating multidrug-resistant bacteria remains a tremendous challenge; therefore, periodic surveillance of emerging antimicrobial resistance and effective infection control measures are important to prevent further spread of drug-resistant organisms in hospital settings.…”
mentioning
confidence: 99%