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Effects of Efflux Pump Inhibitors on Colistin Resistance in Multidrug-Resistant Gram-Negative Bacteria
Authors:Wentao Ni  Yanjun Li  Jie Guan  Jin Zhao  Junchang Cui  Rui Wang  Youning Liu
Affiliation:aDepartment of Respiratory Diseases, Chinese PLA General Hospital, Beijing, China;bDepartment of Clinical Laboratory, Navy General Hospital, Beijing, China;cDepartment of Clinical Laboratory, Peking University First Hospital, Beijing, China;dDepartment of Clinical Pharmacology, Chinese PLA General Hospital, Beijing, China
Abstract:We tested the effects of various putative efflux pump inhibitors on colistin resistance in multidrug-resistant Gram-negative bacteria. Addition of 10 mg/liter cyanide 3-chlorophenylhydrazone (CCCP) to the test medium could significantly decrease the MICs of colistin-resistant strains. Time-kill assays showed CCCP could reverse colistin resistance and inhibit the regrowth of the resistant subpopulation, especially in Acinetobacter baumannii and Stenotrophomonas maltophilia. These results suggest colistin resistance in Gram-negative bacteria can be suppressed and reversed by CCCP.
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