Susceptibility of Escherichia coli isolates with TEM-1 beta-lactamase to combinations of BRL42715, tazobactam or clavulanate with piperacillin or amoxycillin

J Antimicrob Chemother. 1991 Jun;27(6):761-7. doi: 10.1093/jac/27.6.761.

Abstract

Production of TEM-1 beta-lactamase is the commonest cause of acquired resistance to amoxycillin and piperacillin in Escherichia coli, now occurring in c. 50% of isolates. Consecutive E. coli isolates producing TEM-1 beta-lactamase were collected at The London Hospital in 1982 (n = 50) and 1989 (n = 46). Enzyme quantities varied 150-fold amongst the isolates. Randomly-selected isolates from both years (n = 36; nine per quartile of the beta-lactamase activity distribution) were tested for susceptibility to combinations of amoxycillin or piperacillin with clavulanate or tazobactam or with BRL42715, a novel penem. The inhibitor concentrations needed to potentiate the penicillins related to the amount of beta-lactamase produced. BRL42715, at 1 mg/l, rendered all the isolates, including TEM-1 hyperproducers, susceptible to the recommended BSAC breakpoints of 8 mg amoxycillin/1 and 16 mg piperacillin/l. At 2 mg/l, BRL42715 almost always reduced amoxycillin and piperacillin MICs to the levels (1-2 mg/l) expected for E. coli isolates that lack TEM-1 enzyme. Tazobactam, at 1-2 mg/l, reduced piperacillin MICs to 1-2 mg/l for strains in the lower half of the beta-lactamase distribution, but greater than 8 mg tazobactam/l was required to reduce piperacillin MICs to 16 mg/l for one-third of the top quartile isolates. Clavulanate was a stronger potentiator of piperacillin than was tazobactam. On the other hand, amoxycillin was a more difficult substrate to potentiate than piperacillin, and isolates with enzyme levels in the top half of the distribution generally required greater than or equal to 8 mg clavulanate/l to reduce amoxycillin MICs to less than or equal to 8 mg/l.

Publication types

  • Comparative Study
  • Comment

MeSH terms

  • Amoxicillin / pharmacology*
  • Amoxicillin-Potassium Clavulanate Combination
  • Anti-Bacterial Agents / pharmacology*
  • Clavulanic Acids / pharmacology*
  • Drug Synergism
  • Drug Therapy, Combination / pharmacology
  • Escherichia coli / drug effects*
  • Escherichia coli / enzymology
  • Lactams*
  • Microbial Sensitivity Tests
  • Penicillanic Acid / pharmacology*
  • Piperacillin / pharmacology
  • Tazobactam
  • beta-Lactamases / biosynthesis*
  • beta-Lactams*

Substances

  • Anti-Bacterial Agents
  • Clavulanic Acids
  • Lactams
  • beta-Lactams
  • C6-(N1-methyl-1,2,3-trazolylmethylene)penem
  • Amoxicillin-Potassium Clavulanate Combination
  • Amoxicillin
  • Penicillanic Acid
  • beta-Lactamases
  • beta-lactamase TEM-1
  • Tazobactam
  • Piperacillin