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https://dx.doi.org/10.60692/fb...
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The effect of the efflux pump inhibitor Carbonyl Cyanide m-Chlorophenylhydrazone (CCCP) on the susceptibility to imipenem and cefepime in clinical strains of Acinetobacter baumannii

تأثير مثبط مضخة التدفق سيانيد الكربونيل m - Chlorophenylhydrazone (CCCP) على قابلية التعرض للإيميبينيم والسيفيبيم في السلالات السريرية لـ Acinetobacter baumannii
Authors: Alejandra Sanchez-Carbonel; Belén Mondragón; Nicolás López-Chegne; Isaac Peña-Tuesta; Gladys Huayán-Dávila; Dora Blitchtein-Winicki; Hugo Carrillo‐Ng; +3 Authors

The effect of the efflux pump inhibitor Carbonyl Cyanide m-Chlorophenylhydrazone (CCCP) on the susceptibility to imipenem and cefepime in clinical strains of Acinetobacter baumannii

Abstract

Introduction In the last years the rapid expansion of multidrug-resistant A. baumannii strains have become a major health problem. Efflux pumps are a group of transport proteins that contribute to the development of antibiotic resistance. The aim of this study was to evaluate the effect of the efflux pump inhibitor carbonyl cyanide 3-chlorophenylhydrazone (CCCP) on the antimicrobial action of imipenem and cefepime on clinical strains of A. baumannii. Materials and methods A total of 49 non-duplicate clinical samples were collected during January through December of 2018 from patients hospitalized in the Hospital Regional Docente de Cajamarca. Of the 49 samples obtained, the confirmatory identification of A. baumannii was performed on 47 samples by molecular methods. The amplification of the blaOXA-51-like gene was carried out by polymerase chain reaction (PCR). The determination of the minimum inhibitory concentration (MIC) was calculated using the microdilution method in culture broth. The susceptibility to both antibiotics (cefepime and imipenem) was evaluated in the presence and absence of the inhibitor carbonyl cyanide 3-chlorophenylhydrazone (CCCP). Results A total of 47 strains of A. baumannii were isolated: 97.87% (46/47) were resistant to Imipenem, 2.13% (1/47) of them were classified as intermediate and none of these strains were susceptible. On the other hand, 51.06% (24/47) of isolates were resistant to cefepime; 19.15% (9/47) intermediate and 29.79% (14/47) susceptible. We considered a significant difference in antibiotic susceptibility if the MIC changed at least 4 dilutions, after the addition of the inhibitor. In the case of CCCP in addition to imipenem, 2.1% (1/47) had a significant change of 4 or more reductions in MIC, 59.6% (28/47) achieved a change equal or less than 3 dilutions and 17.0% (8/47) did not have any change. In the case of CCCP with cefepime the percentage of strains with the significant change of MIC was 8.5% (4/47). On the other hand, 53.2% (24/47) presented a reduction equal or less than 3 dilutions and 12.8% (6/47) did not show changes. Conclusion In conclusion, our results demonstrate that the use of CCCP may improve the antibiotic effect of imipenem and cefepime on clinical strains of A. baumannii. The relevance of this study is that it provides evidence that this efflux pump inhibitor may be an alternative treatment against multidrug-resistant A. baumannii.

Keywords

Acinetobacter baumannii, Antibiotic resistance, Gene Expression, FOS: Basic medicine, Biochemistry, Antibiotics, Drug Resistance, Multiple, Bacterial, Cefepime, Minimum inhibitory concentration, Q, R, Life Sciences, Drug Synergism, Pollution, Anti-Bacterial Agents, Drug Combinations, Chemistry, Pharmacokinetics of Antibiotics in Critically Ill Patients, Physical Sciences, Pseudomonas aeruginosa, Proton Ionophores, Molecular Medicine, Medicine, Antibiotic Resistance in Aquatic Environments and Wastewater, Broth microdilution, Research Article, Acinetobacter Infections, Carbonyl Cyanide m-Chlorophenyl Hydrazone, Science, Microbial Sensitivity Tests, Microbiology, beta-Lactamases, Global Challenge of Antibiotic Resistance in Bacteria, Efflux, Biochemistry, Genetics and Molecular Biology, Health Sciences, Genetics, Humans, Biology, Pharmacology, Microbial Viability, Bacteria, Imipenem, FOS: Biological sciences, Environmental Science, Genes, MDR, Efflux Pumps

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
30
Top 10%
Top 10%
Top 10%
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