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Antimicrobial Agents and Chemotherapy
Article . 2020 . Peer-reviewed
License: ASM Journals Non-Commercial TDM
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KPC-53, a KPC-3 Variant of Clinical Origin Associated with Reduced Susceptibility to Ceftazidime-Avibactam

Authors: Di Pilato V.; Aiezza N.; Viaggi V.; Antonelli A.; Principe L.; Giani T.; Luzzaro F.; +1 Authors

KPC-53, a KPC-3 Variant of Clinical Origin Associated with Reduced Susceptibility to Ceftazidime-Avibactam

Abstract

This study reports on the characterization of a Klebsiella pneumoniae clinical isolate showing high-level resistance to ceftazidime-avibactam associated with the production of KPC-53, a KPC-3 variant exhibiting a Leu167Glu168 duplication in the Ω-loop and a loss of carbapenemase activity. Whole-genome sequencing (WGS) revealed the presence of two copies of bla KPC-53 , located on a pKpQIL-like plasmid and on a plasmid prophage of the Siphoviridae family, respectively.

Country
Italy
Keywords

Carbapenem-resistant Enterobacterales; CZA resistance; Mutant KPC carbapenemase; Phagemid; Anti-Bacterial Agents; Azabicyclo Compounds; Bacterial Proteins; Ceftazidime; Drug Combinations; Drug Resistance, Multiple, Bacterial; Humans; Klebsiella pneumoniae; Microbial Sensitivity Tests; beta-Lactamases; Klebsiella Infections, Microbial Sensitivity Tests, Ceftazidime, beta-Lactamases, Anti-Bacterial Agents, Klebsiella Infections, Drug Combinations, Klebsiella pneumoniae, Bacterial Proteins, Drug Resistance, Multiple, Bacterial, Humans, Carbapenem-resistant Enterobacterales; CZA resistance; Mutant KPC carbapenemase; Phagemid, Azabicyclo Compounds

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
24
Top 10%
Top 10%
Top 10%
bronze