1980
DOI: 10.1128/aac.17.1.80
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Isolation of an ampicillin-resistant, non-beta-lactamase-producing strain of Haemophilus influenzae

Abstract: A 79-year-old female developed endocarditis and meningitis due to an ampicillin-resistant, non-f-lactamase-producing strain of Haemophilus influenzae. Carbenicillin and gentamicin therapy resulted in bacteriological and clinical cure. The mechanism of resistance of ampicillin-resistant, non-fi-lactamase-producing strains of H. influenzae is unknown. Recent reviews have documented the increasing frequency of serious infections due to Haemophilus influenzae in adults (8,14). Optimal treatment of such infections … Show more

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Cited by 109 publications
(57 citation statements)
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“…BLNAR isolates of NTHi were first reported in 1980 [19] and generally continue to be isolated at low frequencies in Western Europe and the USA [20][21][22][23] . However, recent surveillance studies have reported higher proportions of BLNAR isolates [10,11,17,24,25] .…”
Section: Discussionmentioning
confidence: 99%
“…BLNAR isolates of NTHi were first reported in 1980 [19] and generally continue to be isolated at low frequencies in Western Europe and the USA [20][21][22][23] . However, recent surveillance studies have reported higher proportions of BLNAR isolates [10,11,17,24,25] .…”
Section: Discussionmentioning
confidence: 99%
“…The major mechanism of this resistance was the production of beta-lactamases [7]. Non-beta-lactamase-mediated resistance to ampicillin in Haemophilus influenzae was first reported in the early 1980s [8]. This beta-lactamase-negative ampicillin-resistant (BLNAR) determinant was associated with the alteration of penicillin-binding proteins (PBPs) as a result of ftsI gene mutation [9] [10].…”
Section: Introductionmentioning
confidence: 99%
“…At the same time there is some evidence that the resistance does not necessarily correlate with the enzyme activity (8,12,17). The existence of mutants resistant to new p-lactam antibiotics which are highly resistant to hydrolysis by p-lactamases (3,5,14) led us to consider the possibility that they might contain resistance mechanisms other than p-lactamase production.…”
Section: Distribution Of R Plasmids Conferring a Permeabilitymentioning
confidence: 99%