Evidence map›Paper›PMID 40799953›Full record

ArticleInfection and drug resistance2025

Ceftazidime-Induced Overexpression of MexJK-OprM Confers Resistance to Ceftolozane/Tazobactam in an Isolate of

Takumi Sato, Mai Tamura, Kei Kaimori, Fumihiko Okumura, Shin Ikejima, Hajime Nakai, Masato Kawamura, Shigeru Fujimura

Abstract readCase Reports
In one paragraph

Article in Infection and drug resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Takumi SatoDivision of Clinical Infectious Diseases & Chemotherapy, Graduate School of Pharmaceutical Sciences, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.ORCID 0000-0003-4277-0583
Mai TamuraDepartment of Pharmacy, Odate Municipal General Hospital, Odate, Akita, Japan.
Kei KaimoriDivision of Clinical Infectious Diseases & Chemotherapy, Graduate School of Pharmaceutical Sciences, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Fumihiko OkumuraDepartment of Respiratory Medicine, Odate Municipal General Hospital, Odate, Akita, Japan.
Shin IkejimaDepartment of Infection Control, Odate Municipal General Hospital, Odate, Akita, Japan.
Hajime NakaiDepartment of Pharmacy, Odate Municipal General Hospital, Odate, Akita, Japan.
Masato KawamuraDivision of Clinical Infectious Diseases & Chemotherapy, Graduate School of Pharmaceutical Sciences, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.ORCID 0000-0003-1863-1241
Shigeru FujimuraDivision of Clinical Infectious Diseases & Chemotherapy, Graduate School of Pharmaceutical Sciences, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The emergence of resistance to ceftolozane/tazobactam (CTLZ/TAZ) in Methods: A TAZ/CTLZ-resistant Results: Pa-R and Pa-S were genetically identical and lacked carbapenemase genes. No mutations or overexpression of Conclusion: This study demonstrated that overexpression of the MexJK-OprM efflux pump is a key mechanism underlying TAZ/CTLZ resistance. In addition, prior administration of CAZ contributed to the acquisition of resistance, highlighting the need to consider the risk of resistance acquisition when switching antibiotics. In such cases, the choice of carbapenems should be considered.

Indexed as

antimicrobial resistanceceftolozane/tazobactamefflux pumpMexJKPseudomonas aeruginosa

Identifiers

PMID40799953
PMCPMC12341834

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.