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PMID: 6578701 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Occurrence and expression of imipemide (N-formimidoyl thienamycin) resistance in clinical isolates of coagulase-negative staphylococci.

Antimicrobial agents and chemotherapy ·Vol. 24 ·No. 1 ·1983-07-00 ·Pages 61-9

Blumenthal RM, Raeder R, Takemoto CD, Freimer EH

Abstract

More than 500 clinical isolates were screened for resistance to a number of antibiotics, including imipemide (N-formimidoyl thienamycin [MK0787]). Of the 25 coagulase-negative staphylococcal isolates present in the screening sample, almost one-third showed one of two patterns of imipemide resistance. One pattern apparently involves constitutive expression of drug resistance, whereas the other pattern seems to result from an inducible resistance having an apparent induction threshold higher than the minimal inhibitory concentration of imipemide. The mechanism(s) responsible for this imipemide resistance is unclear, but may be distinct from the more common staphylococcal mechanisms of resistance to beta-lactam antibiotics. Only two of the patients from whom imipemide-resistant staphylococci were cultured had actually been treated with the antibiotic.

MeSH Terms
Coagulase/metabolism Drug Resistance, Microbial Imipenem Microbial Sensitivity Tests Phenotype Staphylococcus/drug effects,enzymology Thienamycins/pharmacology Time Factors
Chemicals
Coagulase Thienamycins Imipenem
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
Blumenthal R M
Raeder R
Takemoto C D
Freimer E H
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30 references, click to expand
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Article Info
Journal
Antimicrobial agents and chemotherapy
Abbr.
Antimicrob Agents Chemother
ISSN
0066-4804
Published
1983-07-00
Pages
61-9
Language
English
Region
United States
NLM ID
0315061
PMCID
PMC185105
Subset
IM
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