title: The β-lactamase inhibitor avibactam (NXL104) does not induce ampC β-lactamase in Enterobacter cloacae.
abstract: Induction of ampC β-lactamase expression can often compromise antibiotic treatment and is triggered by several β-lactams (such as cefoxitin and imipenem) and by the β-lactamase inhibitor clavulanic acid. The novel β-lactamase inhibitor avibactam (NXL104) is a potent inhibitor of both class A and class C enzymes. The potential of avibactam for induction of ampC expression in Enterobacter cloacae was investigated by ampC messenger ribonucleic acid quantitation. Cefoxitin and clavulanic acid were confirmed as ampC inducers, whereas avibactam was found to exert no effect on ampC expression. Thus, avibactam is unlikely to diminish the activity of any partner β-lactam antibiotic against AmpC-producing organisms.
authors.affiliation: Novexel, Romainville, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Miossec
authors.affiliation: Novexel, Romainville, France.
authors.forename: Monique
authors.initials: M
authors.lastname: Claudon
authors.affiliation: Novexel, Romainville, France.
authors.forename: Premavathy
authors.initials: P
authors.lastname: Levasseur
authors.affiliation: Novexel, Romainville, France.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Black
keywords: NXL104; ampC; avibactam; induction; β-lactamase