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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-12-26
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pubmed:abstractText |
Recent reports of decreased susceptibility to amoxycillin/clavulanate and ticarcillin/clavulanate combinations amongst Escherichia coli isolates have been attributed to an increased frequency of hyperproduction of TEM-1 beta-lactamase. To test this claim we compared the activities of clavulanate combinations against consecutive E. coli isolates producing TEM-1 beta-lactamase that were obtained from clinical material at The London Hospital during 1982 (n = 50) and 1989 (n = 46). Enzyme production was quantified and related to the level of clavulanate required to potentiate amoxycillin and ticarcillin. The levels of TEM-1 enzyme production varied 150-fold amongst the isolates, partly because of variation in the gene copy number. A clear correlation existed between enzyme quantity and levels of resistance to the clavulanate combinations. However, there was no significant difference (P greater than 0.05, Mann-Whitney U test) between the isolates obtained in 1982 and 1989 in terms of the clavulanate concentrations required to potentiate the penicillins, or in the distribution of beta-lactamase activities present.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Amoxicillin,
http://linkedlifedata.com/resource/pubmed/chemical/Amoxicillin-Potassium Clavulanate...,
http://linkedlifedata.com/resource/pubmed/chemical/Clavulanic Acids,
http://linkedlifedata.com/resource/pubmed/chemical/Ticarcillin,
http://linkedlifedata.com/resource/pubmed/chemical/beta-Lactamases,
http://linkedlifedata.com/resource/pubmed/chemical/beta-lactamase TEM-1,
http://linkedlifedata.com/resource/pubmed/chemical/ticarcillin-clavulanic acid
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0305-7453
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
749-59
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pubmed:dateRevised |
2008-8-22
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pubmed:meshHeading |
pubmed-meshheading:1938685-Amoxicillin,
pubmed-meshheading:1938685-Amoxicillin-Potassium Clavulanate Combination,
pubmed-meshheading:1938685-Clavulanic Acids,
pubmed-meshheading:1938685-Drug Resistance, Microbial,
pubmed-meshheading:1938685-Drug Synergism,
pubmed-meshheading:1938685-Drug Therapy, Combination,
pubmed-meshheading:1938685-Escherichia coli,
pubmed-meshheading:1938685-Plasmids,
pubmed-meshheading:1938685-Ticarcillin,
pubmed-meshheading:1938685-Time Factors,
pubmed-meshheading:1938685-beta-Lactamases
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pubmed:year |
1991
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pubmed:articleTitle |
Activity of clavulanate combinations against TEM-1 beta-lactamase-producing Escherichia coli isolates obtained in 1982 and 1989.
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pubmed:affiliation |
Department of Medical Microbiology, London Hospital Medical College, UK.
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pubmed:publicationType |
Journal Article,
Comparative Study
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