Ann Clin Microbiol 2020;23:73-80. Killing Dynamics of Carbapenems against Pseudomonas aeruginosa Harboring Varied Determinants of Carbapenem Resistance

Table 1. Carbapenem susceptibility and relative level of efflux pump gene expression in P. aeroginosa strains
P. aeruginosa MIC (mg/L) of* Relative level of expression to A1701DS
Imipenem Meropenem MexAB-OprM MexXY-OprM MexCD-OprJ
A1701DS 2 1 1.0 1.0 1.0
B1707ΔoprD 16 8 0.6 0.3
F1709pump ↑ 32 32 1.4 0.6 0.7
B1605ΔoprD/pump↑IMP 8 >64 1.6 3.4 2.8

*MICs were determined by broth dilution method. Imipenem and meropenem MICs in quality control strain P. aeruginosa ATCC 27853 were 4 and 0.5 mg/L, respectively.
†The relative level of pump expression was determined for the RND pump genes, mexB for MexAB-OprM, mexY for MexXY-OprM, and mexD for MexCD-OprJ.
‡No mexD gene was identified by PCR.
Abbreviation: MICs, minimal inhibitory concentrations.