García-Rodríguez JA, García Sánchez JE, Muñoz Bellido JL, García García MI. Current status of bacterial resistance to third-generation cephalosporins.
Diagn Microbiol Infect Dis 1992;
15:67-72. [PMID:
1730187 DOI:
10.1016/0732-8893(92)90058-2]
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Abstract
A review of the evolution of bacterial resistance to third-generation cephalosporins is presented, focusing mainly on the prototypical member of this group-cefotaxime. Third-generation cephalosporins generally remain highly active against most Enterobacteriaceae, staphylococci, streptococci, Haemophilus, and Neisseriaceae. Only enterobacteria with a high frequency of mutant derepressed strains that hyperproduce chromosomally mediated beta-lactamase, Pseudomonas spp., and some glucose nonfermenter Gram-negative bacilli have demonstrated increased levels of resistance. The significance of derepressed strains and of the recently described extended-spectrum, plasmid-mediated beta-lactamases to the usefulness of the third-generation cephalosporins is discussed.
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