Journal: Microbiology Spectrum
Article Title: Tandem amplification of the umpA allele contributes to ceftazidime-avibactam heteroresistance in clinical carbapenem-resistant Klebsiella pneumoniae isolates
doi: 10.1128/spectrum.01722-25
Figure Lengend Snippet: CZA-heteroresistant strains and stability of their resistant subpopulations among the 25 clinical carbapenem-resistant Klebsiella pneumoniae isolates. ( A ) Satellite colonies in the CZA E-test strip for the CRKP11, CRKP19, and CRKP26 strains. ( B ) Population analysis profiles of CRKP11, CRKP19, and CRKP26 and the control strain K. pneumoniae ATCC13883. ( C ) Time-kill kinetics assay for CRKP11, CRKP19, and CRKP26, and the control strain K. pneumoniae ATCC13883. ( D ) MIC values for the heteroresistant strains CRKP11, CRKP19, and CRKP26, and their resistant subpopulations (RS). Red lines indicate average values of three WT strain replicates. Green lines indicate average values of resistant subpopulation replicates. ( E ) MIC values of CZA for the passaged resistant subpopulations were determined at passages 0, 10, and 30 days. Shading indicates SEM values.
Article Snippet: CZA heteroresistance in the K. pneumoniae clinical isolates was confirmed by PAP for colonies growing within the inhibitory zone in the CZA gradient strip testing (Liofilchem, Roseto degli Abruzzi, Italy).
Techniques: Stripping Membranes, Control