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mechanisms of carbapenem resistance among a collection of enterobacteriaceae clinical isolates in a texas city.fourteen enterobacteriaceae isolates with ertapenem mic >2 mg/ml were analyzed to identify mechanisms of resistance. all isolates produced extended-spectrum beta-lactamase or ampc beta-lactamase with variable, but decreased, expression of outer membrane proteins. one enterobacter cloacae produced derepressed ampc beta-lactamase, 1 escherichia coli expressed plasmid-mediated ampc beta-lactamase, and 1 e. cloacae produced a carbapenemase.201020226336
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