title: Effect of extended-spectrum beta-lactamases on the susceptibility of Haemophilus influenzae to cephalosporins.
abstract: The extended-spectrum beta-lactamases (ESBLs) TEM-3, TEM-4 and TEM-5 were cloned into Haemophilus influenzae. These recombinant strains exhibited cefotaxime MICs of 0.5, 0.25 and 0.12 mg/L for TEM-3, -4 and -5, respectively, and the MIC of cefaclor was 4.0 mg/L. These MICs are higher than those of beta-lactamase-negative strains, or those producing simple wild-type TEM-1 beta-lactamase, but not high enough to be categorized as resistant according to the breakpoints of the NCCLS. The clones were also categorized as susceptible using NCCLS disc diffusion methodology and interpretive criteria. This study shows that current NCCLS susceptibility testing methods may have difficulty in detecting ESBLs if they were to occur in H. influenzae.
authors.affiliation: School of Human Life Sciences, University of Tasmania, Launceston, Tasmania 7250, Australia. Stephen.Tristram@utas.edu.au
authors.forename: Stephen G
authors.initials: SG
authors.lastname: Tristram
mesh_terms: D018550:Cephalosporin Resistance / Q000502:physiology*; D002511:Cephalosporins / Q000494:pharmacology*; D006193:Haemophilus influenzae / Q000187:drug effects* / Q000201:enzymology* / Q000235:genetics; D008826:Microbial Sensitivity Tests / Q000379:methods / Q000706:statistics & numerical data; D001618:beta-Lactamases / Q000096:biosynthesis* / Q000235:genetics
chemical_list: D002511:Cephalosporins; C055184:beta-lactamase TEM-3; C061036:beta-lactamase TEM-4; D001618:beta-Lactamases; C060181:beta-lactamase CAZ-1