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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 

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Ampicillin treatment failure of apparently beta-lactamase-negative Haemophilus influenzae type b meningitis due to novel beta-lactamase.

Documented ampicillin treatment failures of systemic Haemophilus influenzae type b infections have been associated with synthesis of a TEM-1 beta-lactamase. A patient with H. influenzae type b meningitis in whom ampicillin treatment failed is described; the isolate was beta-lactamase-negative according to the cell suspension chromogenic cephalosporin assay. The false-negative result occurred in a strain which elaborated a novel, plasmid-mediated beta-lactamase with characteristics which distinguish it from TEM-1 beta-lactamase. Clinically important ampicillin resistance in H. influenzae type b occurs by mechanisms other than by synthesis of TEM-1 beta-lactamase. Diagnostic microbiology laboratories should perform antibiotic susceptibility tests in addition to tests for beta-lactamase production.[1]

References

  1. Ampicillin treatment failure of apparently beta-lactamase-negative Haemophilus influenzae type b meningitis due to novel beta-lactamase. Rubin, L.G., Medeiros, A.A., Yolken, R.H., Moxon, E.R. Lancet (1981) [Pubmed]
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