“…The horizontal transfer of plasmid-mediated resistance determinants has become a severe threat to the clinical efficacy of antibiotics, in hospital and community settings, triggering the onset of a worldwide antimicrobial resistance crisis. ,, Among them, subclass B1 MβLs including the clinically important NDM-, IMP-, and VIM-type variants and class A KPC-type and class D OXA-type serine carbapenemases are mostly encoded on plasmids in clinical isolates of Acinetobacter spp ., Pseudomonas spp., and Enterobacteriaceae , giving rise to the emergence and spread of MDR Gram-negative pathogens, which threaten the ability to effectively treat hospital-acquired infections. − Global antibiotic resistance has reached critical levels, with major bacterial pathogens, including Gram-negative organisms such as A. baumannii , P. aeruginosa , E. coli , and K. pneumoniae , quickly evolving toward pan-drug-resistant phenotypes. , There is an urgent medical need for strategies that address this carbapenem resistance. , …”