Ceftazidime-Induced Overexpression of MexJK-OprM Confers Resistance to Ceftolozane/Tazobactam in an Isolate of Pseudomonas aeruginosa

This study demonstrated that overexpression of the MexJK-OprM efflux pump is a key mechanism underlying TAZ/CTLZ resistance. In addition, prior administration of CAZ contributed to the acquisition of resistance, highlighting the need to consider the risk of resistance acquisition when switching antibiotics. In such cases, the choice of carbapenems should be considered.

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Publication Details

Journal
Infection and Drug Resistance
Published
2025-08-01
DOI
https://doi.org/10.2147/idr.s540567
Primary Topic
Antibiotic Resistance in Bacteria
Type
article
Field-Weighted Citation Impact
0.00
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article

Ceftazidime-Induced Overexpression of MexJK-OprM Confers Resistance to Ceftolozane/Tazobactam in an Isolate of Pseudomonas aeruginosa

Shigeru Fujimura, SHIN IKEJIMA, Hajime Nakai, Fumihiko Okumura et al.
Infection and Drug Resistance
Antibiotic Resistance in Bacteria
article

Ceftazidime-Induced Overexpression of MexJK-OprM Confers Resistance to Ceftolozane/Tazobactam in an Isolate of Pseudomonas aeruginosa

Shigeru Fujimura, SHIN IKEJIMA, Hajime Nakai, Fumihiko Okumura, M. Kawamura, Takumi Sato, Mai Tamura, Kei Kaimori
article en

Abstract

This study demonstrated that overexpression of the MexJK-OprM efflux pump is a key mechanism underlying TAZ/CTLZ resistance. In addition, prior administration of CAZ contributed to the acquisition of resistance, highlighting the need to consider the risk of resistance acquisition when switching antibiotics. In such cases, the choice of carbapenems should be considered.

Infection and Drug ResistanceVol. Volume 18
Odawara Municipal Hospital (JP), Tohoku Medical and Pharmaceutical University Hospital (JP), Tohoku Medical and Pharmaceutical University (JP)
Openalex Percentile: Top 84%
Antibiotic Resistance in Bacteria
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