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Diazabicyclooctane-Based Inhibitor-Protected β-Lactams: Mechanisms of Resistance in Gram-Negative Bacteria

https://doi.org/10.37489/0235-2990-2026-71-3-4-54-61

EDN: MJAKWW

Abstract

The introduction of diazabicyclooctane-based inhibitor-protected β-lactams into clinical practice has significantly expanded the treatment options against infections caused by carbapenemase-producing Gram-negative bacteria. Nevertheless, the actual clinical progress has been limited due to the rapid development and spread of resistance to the new drugs. This review summarizes and analyzes current data on the mechanisms of resistance to inhibitor-protected β-lactams.

About the Authors

A. A. Avdeeva
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Alisa A. Avdeeva — Junior Researcher at the Medical Microbiology and Molecular Epidemiology Research Department

Author ID: 57224856824

Saint-Petersburg



O. S. Sulyan
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Ofeliia S. Sulyan — Junior Researcher at the Medical Microbiology and Molecular Epidemiology Research Department

Saint-Petersburg



A. R. Goncharova
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Alina R. Goncharova — Junior Researcher at the Medical Microbiology and Molecular Epidemiology Research Department; Assistant Professor at the Department of Medical Microbiology

WOS Researcher ID: JNR-9369-2023

AuthorID: 1119362 

Saint-Petersburg



V. Yu. Pleshkov
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Vyacheslav Yu. Pleshkov — Laboratory Assistant Researcher at the Medical Microbiology and Molecular Epidemiology Research Department; Junior Researcher at the Department of Surgical Infections 

AuthorID: 1128947 

Saint-Petersburg



V. V. Gostev
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Vladimir V. Gostev — D. Sc. in Biology, Senior Researcher at the Medical Microbiology and Molecular Epidemiology Research Department; Professor at the Department of Medical Microbiology

WOS Researcher ID: P-1949-2016

Scopus Author ID: 55614534400.

AuthorID: 558325 

Saint-Petersburg



A. V. Zagainova
Center for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical-Biological Agency
Russian Federation

Anzhelika V. Zagainova — Ph. D. in Biology, Head of the Laboratory of Microbiology and Parasitology

Saint-Petersburg



A. N. Andreeva
Center for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical-Biological Agency
Russian Federation

Anna N. Andreeva — Laboratory Assistant Researcher at the Medical Microbiology and Molecular Epidemiology Research Department

AuthorID: 1220684 

Saint-Petersburg



A. O. Guseva
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Anastasiya O. Guseva — Laboratory Assistant Researcher at the Medical Microbiology and Molecular Epidemiology Research Department 

AuthorID: 1243908 

Saint-Petersburg



L. I. Zhelezova
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Lyudmila I. Zhelezova — Ph. D. in Medicine, Senior Researcher at the Medical Microbiology and Molecular Epidemiology Research Department

WOS Researcher ID: G-9662-2012

Scopus Author ID: 6505716185

AuthorID: 623493 

Saint-Petersburg



S. V. Romanova
Center for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical-Biological Agency
Russian Federation

Svetlana V. Romanova — Head of the Department of Organization and Conduct of Clinical Trials

Saint-Petersburg



A. V. Nikulin
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
Russian Federation

Andrey V. Nikulin — Bacteriologist at the Bacteriological Laboratory

Saint-Petersburg



A. V. Kazakova
Center for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical-Biological Agency
Russian Federation

Anastasia V. Kazakova — Ph. D. in Pharmaceutical Sciences, Deputy Head of the Department of Organization and Management of Clinical Research

Saint-Petersburg



A. I. Nekrasova
Center for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical-Biological Agency
Russian Federation

Alexandra I. Nekrasova — 1st Category Analyst at the Institute of Synthetic Biology and Genetic Engineering

Saint-Petersburg



I. V. Ageevets
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Irina V. Ageevets — Ph. D. in Medicine, Researcher Associate at the Medical Microbiology and Molecular Epidemiology Research Department

WOS Researcher ID: F-8698-2017

Scopus Author ID: 57189621346

Saint-Petersburg



V. A. Ageevets
Federal Scientific and Clinical Center for Infectious Diseases of the Federal Medical-Biological Agency
Russian Federation

Vladimir A. Ageevets — Ph. D. in Biology, Senior Researcher at the Medical Microbiology and Molecular Epidemiology Research Department

WOS Researcher ID: F-9282-2017

Scopus Author ID: 55949608900

AuthorID: 672912 

Saint-Petersburg



S. M. Yudin
Center for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical-Biological Agency
Russian Federation

Sergey M. Yudin — D. Sc. in Medicine, Professor, CEO 

AuthorID: 222067 

Saint-Petersburg



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Review

For citations:


Avdeeva AA, Sulyan OS, Goncharova AR, Pleshkov VY, Gostev VV, Zagainova AV, Andreeva AN, Guseva AO, Zhelezova LI, Romanova SV, Nikulin AV, Kazakova AV, Nekrasova AI, Ageevets IV, Ageevets VA, Yudin SM. Diazabicyclooctane-Based Inhibitor-Protected β-Lactams: Mechanisms of Resistance in Gram-Negative Bacteria. Antibiotiki i Khimioterapiya = Antibiotics and Chemotherapy. 2026;71(3-4):54-61. (In Russ.) https://doi.org/10.37489/0235-2990-2026-71-3-4-54-61. EDN: MJAKWW

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