Oxacillinase-Mediated Resistance to Cefepime and Susceptibility to Ceftazidime inPseudomonas aeruginosa

Abstract
Pseudomonas aeruginosaclinical isolate SOF-1 was resistant to cefepime and susceptible to ceftazidime. This resistance phenotype was explained by the expression of OXA-31, which shared 98% amino acid identity with a class D β-lactamase, OXA-1. Theoxa-31gene was located on a ca. 300-kb nonconjugative plasmid and on a class 1 integron. No additional efflux mechanism for cefepime was detected inP. aeruginosaSOF-1. Resistance to cefepime and susceptibility to ceftazidime inP. aeruginosawere conferred by OXA-1 as well.