Classification of carbapenemase according to Ambler classification
Ambler classification | Structure of function | Examples | Representative inhibitors |
---|---|---|---|
Class A | Serine carbapenemases | KPC, SME, IMI, NMC, GES | CLA, PBA, tazobactam |
Class B | Metallo-β-lactamases | NDM, VIM, IMP, GIM, SIM, SPM | Metal-chelating agents (EDTA, Dipicolinic acid) |
Class D | Serine carbapenemases | OXA | CLA, PBA : variable in vitro NaCl |
Abbreviations: CLA, clavulanic acid; PBA, phenylboronic acid; EDTA, ethylene diamine tetra-acetic acid.