title: Activity of temocillin and other penicillins against beta-lactamase-inducible and -stably derepressed enterobacteria.
abstract: MICs of temocillin, carbenicillin, ticarcillin, mezlocillin, piperacillin and ampicillin were determined for mutant series of Enterobacter cloacae, Citrobacter freundii, Proteus vulgaris, Morganella morganii and Serratia marcescens with inducible, stably derepressed or basal expression of chromosomal Class I beta-lactamases. Ampicillin was inactive (MIC greater than 256 mg/l) both against beta-lactamase-inducible organisms (except C. freundii) and their stably derepressed mutants, whereas basal mutants were sensitive (MIC 2-8 mg/l). Carbenicillin, ticarcillin, mezlocillin, piperacillin (and ampicillin for C. freundii) were active against both inducible and basal organisms (MIC less than 16 mg/l), but inactive against the derepressed mutants (MICs usually greater than 64 mg/l). Temocillin inhibited all the organisms, including the stably derepressed mutants, at 16 mg/l. Derepressed S. marcescens, M. morganii and Pr. vulgaris were as susceptible as the inducible strains and basal mutants. MICs of temocillin for derepressed mutants of E. cloacae and C. freundii were 4-16 fold above those for their inducible parent strains, but remained within the clinical range.
authors.affiliation: Department of Medical Microbiology, London Hospital Medical College, UK.
authors.forename: Y
authors.initials: Y
authors.lastname: Yang
authors.forename: D M
authors.initials: DM
authors.lastname: Livermore
mesh_terms: D004755:Enterobacteriaceae / Q000187:drug effects* / Q000201:enzymology; D004790:Enzyme Induction; D008826:Microbial Sensitivity Tests; D009154:Mutation; D010405:Penicillinase / Q000096:biosynthesis*; D010406:Penicillins / Q000494:pharmacology*
chemical_list: D010406:Penicillins; C031367:temocillin; D010405:Penicillinase