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Journal of Antimicrobial Chemotherapy (2000) 46, 273-277
© 2000 The British Society for Antimicrobial Chemotherapy


Brief reports

Relationship between outer membrane alterations and susceptibility to antimicrobial agents in isogenic strains of Klebsiella pneumoniae

Santiago Hernández-Allésa, María del Carmen Conejob, Alvaro Pascualb, Juan M. Tomásc, Vicente Javier Benedía and Luis Martínez-Martínezb,*

a Department of Biology, Area of Microbiology and IMEDEA-CSIC, University of the Balearic Islands, b Department of Microbiology, School of Medicine, University of Seville and c Department of Microbiology, School of Biology, University of Barcelona, Spain

The activities of ß-lactams, chloramphenicol, tetracycline, fluoroquinolones and aminoglycosides against Klebsiella pneumoniae C3 (O1:K66, producing porins OmpK35 and OmpK36) and a set of isogenic mutants derived from it lacking the O antigen of lipopolysaccharide (LPS), capsular K antigen, or one or both porins were determined. MICs remained within one dilution step in mutants deficient in antigen O, in capsule or in one of the two porins. No increases in the MICs of aminoglycosides, fluoroquinolones, tetracycline and chloramphenicol were observed for strains deficient in the two porins, but the MICs of ampicillin, cephalothin, cefoxitin, cefotaxime and ceftazidime for this type of mutant increased four- to >256-fold. The highest MICs of ß-lactams were obtained in a porin-deficient mutant expressing increased ß-lactamase activity. It is concluded that isolated outer membrane alterations in K. pneumoniae are not decisive factors in increasing resistance to antimicrobial agents, but porin loss co-operates with ß-actamase production to increase resistance to ß-lactams.

* Correspondence address. Department of Microbiology, School of Medicine, Apdo. 914, 41080 Seville, Spain. Tel: +34-95-4557448; Fax: +34-95-4377413; E-mail: lmartin{at}cica.es


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