A piperacillin-tazobactam resistant Escherichia coli strain isolated from a faecal sample of a healthy volunteer

FEMS Immunol Med Microbiol. 1995 Apr;11(2):107-11. doi: 10.1111/j.1574-695X.1995.tb00096.x.

Abstract

As part of a surveillance programme of the prevalence of antibiotic resistance, the faecal bacteria of healthy people (n = 1348) were examined, and the antibiotic resistance of the Escherichia coli strains determined. One strain out of 142 amoxycillin-resistant isolates, E. coli strain 1662, was also resistant to piperacillin-tazobactam but susceptible to amoxycillin-clavulanic acid. The piperacillin-tazobactam resistance determinant was transferable to standard E. coli strains by conjugation. However, the strain produced a beta-lactamase with several characteristics very similar to those of the TEM-1 beta-lactamase, i.e. pI of 5.4, an M(r) value of 22,000 and a comparable substrate profile. The enzyme was as efficiently inhibited by clavulanic acid and tazobactam as the TEM-1 and TEM-2 beta-lactamases but more than the amoxycillin-clavulanic acid-resistant TRC-1 enzyme. The transferable resistance to piperacillin-tazobactam appears to be mediated by a novel resistance mechanism that has previously not been described.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Clavulanic Acid
  • Clavulanic Acids / pharmacology
  • Enzyme Inhibitors / pharmacology
  • Escherichia coli / drug effects*
  • Escherichia coli / enzymology
  • Escherichia coli / genetics
  • Feces / microbiology
  • Humans
  • Microbial Sensitivity Tests
  • Penicillanic Acid / analogs & derivatives*
  • Penicillanic Acid / pharmacology
  • Penicillin Resistance*
  • Piperacillin / pharmacology*
  • Plasmids / analysis
  • Population Surveillance
  • Tazobactam
  • beta-Lactamase Inhibitors
  • beta-Lactamases / biosynthesis
  • beta-Lactamases / chemistry

Substances

  • Anti-Bacterial Agents
  • Clavulanic Acids
  • Enzyme Inhibitors
  • beta-Lactamase Inhibitors
  • Clavulanic Acid
  • Penicillanic Acid
  • beta-Lactamases
  • Tazobactam
  • Piperacillin