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Tables

Table 1.6: Characteristics of ESBL and AmpC β-Lactamases

ESBL

AmpC β-lactamase

Bush-Jacoby-Medeiros functional class

2be

Ambler molecular classification

A

C

Plasmid mediated

Almost always (responsible for the spread)

Most are chromosomal
Plasmid increasingly reported

Inhibition by clavulanate, tazobactam, sulbactam*

Inhibited

Not inhibited

Cephamycins
- cefoxitin
- cefmetazole

Not hydrolysed

Hydrolysed

Oxyimino-β-lactams
- cefotaxime
- ceftriaxone
- ceftazidime

Hydrolysed

Hydrolysed

Cefepime

Variable

Not hydrolysed

Carbapenem

Not hydrolysed

Not hydrolysed

Examples

TEM, SHV and CTX-M

Enterobacter, Citrobacter and Serratia possess inducible AmpC β-lactamase encoded in their chromosomes

*β-lactamase inhibitor