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Gram-negative resistance in Singapore: a historical perspective
Annals of the Academy of Medicine, Singapore ; : 847-854, 2008.
Article in English | WPRIM | ID: wpr-244480
ABSTRACT
In the past 3 decades, classical extended-spectrum beta-lactamases (ESBLs) have probably been the main contributors to gram-negative antimicrobial resistance in Singapore. These appear to be being replaced by the newer CTX-M ESBLs. Metallo-beta-lactamases are found in Pseudomonas aeruginosa but do not seem to have spread widely in Acinetobacter spp. and Enterobacteriaceae. Carbapenem-hydrolysing oxacillinases are prevalent in multidrug-resistant Acinetobacter spp. More insidious developments include the emergence of plasmid AmpC beta-lactamases and multifactorial quinolone resistance in Enterobacteriaceae.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pharmacology / Singapore / Beta-Lactamases / Drug Resistance, Microbial / Microbial Sensitivity Tests / Carbapenems / Cephalosporins / Quinolones / History, 20th Century / History, 21st Century Limits: Humans Country/Region as subject: Asia Language: English Journal: Annals of the Academy of Medicine, Singapore Year: 2008 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pharmacology / Singapore / Beta-Lactamases / Drug Resistance, Microbial / Microbial Sensitivity Tests / Carbapenems / Cephalosporins / Quinolones / History, 20th Century / History, 21st Century Limits: Humans Country/Region as subject: Asia Language: English Journal: Annals of the Academy of Medicine, Singapore Year: 2008 Type: Article