Gram-negative resistance in Singapore: a historical perspective.

نویسنده

  • Tse Hsien Koh
چکیده

In the past 3 decades, classical extended-spectrum beta-lactamases (ESBLs) have probably been the main contributors to gram-negative antimicrobial resistance in Singapore. These appear to be being replaced by the newer CTX-M ESBLs. Metallo-beta-lactamases are found in Pseudomonas aeruginosa but do not seem to have spread widely in Acinetobacter spp. and Enterobacteriaceae. Carbapenem-hydrolysing oxacillinases are prevalent in multidrug-resistant Acinetobacter spp. More insidious developments include the emergence of plasmid AmpC beta-lactamases and multifactorial quinolone resistance in Enterobacteriaceae.

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عنوان ژورنال:
  • Annals of the Academy of Medicine, Singapore

دوره 37 10  شماره 

صفحات  -

تاریخ انتشار 2008