JAC Advance Access published online on November 28, 2002
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkg015
© 2002 by The British Society for Antimicrobial Chemotherapy
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Original Paper
1 School of Human Life Sciences, University of Tasmania, Launceston,
Tasmania 7250, Australia
* Corresponding author. E-mail: Stephen.Tristram{at}utas.edu.au.
Received 10 July 2002
; revised 4 September 2002
; accepted 25 September 2002
The extended-spectrum
Keywords: extended-spectrum Effect of extended-spectrum
-lactamases
on the susceptibility of Haemophilus influenzae to
cephalosporins
-lactamases
(ESBLs) TEM-3, TEM-4 and TEM-5 were cloned into Haemophilus
influenzae. These recombinant strains exhibited cefotaxime
MICs of 0.5, 0.25 and 0.12 mg/L for TEM-3, -4 and -5, respectively,
and the MIC of cefaclor was 4.0 mg/L. These MICs are higher than
those of
-lactamase-negative strains,
or those producing simple wild-type TEM-1
-lactamase,
but not high enough to be categorized as resistant according to
the breakpoints of the NCCLS. The clones were also categorized as
susceptible using NCCLS disc diffusion methodology and interpretive
criteria. This study shows that current NCCLS susceptibility testing
methods may have difficulty in detecting ESBLs if they were to occur
in H. influenzae.
-lactamase,
TEM
-lactamase
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