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In vitro evolution of cefepime/zidebactam (WCK 5222) resistance in Pseudomonas aeruginosa: dynamics, mechanisms, fitness trade-off and impact on in vivo efficacy.

Isabel BarcelóGabriel CabotSnehal PalwePrashant JoshiSwapna TakalkarHariharan PeriasamySara Cortés-LaraLaura ZamoranoIrina Sánchez-DienerBartolome MoyaSachin S BhagwatMahesh PatelAntonio Oliver
Published in: The Journal of antimicrobial chemotherapy (2021)
Development of cefepime/zidebactam resistance in P. aeruginosa required multiple simultaneous mutations that were associated with a significant impairment of fitness and virulence.
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