<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0319</journal-id>
<journal-title><![CDATA[Medicas UIS]]></journal-title>
<abbrev-journal-title><![CDATA[Medicas UIS]]></abbrev-journal-title>
<issn>0121-0319</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-03192024000100009</article-id>
<article-id pub-id-type="doi">10.18273/revmed.v37n1-2024001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efecto del bloqueo de bombas de eflujo en el tratamiento antimicrobiano en cepas con multirresistencia tipo BLEE de origen clínico en Boyacá, Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Efflux pumps blockade in antimicrobial treatment of clinical multi-resistant ESBL type strain in Boyacá, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Angarita-Merchán]]></surname>
<given-names><![CDATA[Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Filippo-lriarte]]></surname>
<given-names><![CDATA[Giselle Di]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Moreno]]></surname>
<given-names><![CDATA[Diana Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrebuz-Cardozo]]></surname>
<given-names><![CDATA[Atilio Junior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Boyacá  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Boyacá  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ESE Hospital Universitario San Rafael de Tunja  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Boyacá  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>24</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-03192024000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-03192024000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-03192024000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El aumento de bacterias resistentes a múltiples fármacos destaca la necesidad de mejorar las terapias antimicrobianas. Las bombas de eflujo, que reducen la concentración de antimicrobianos en las bacterias, son clave en la resistencia, mecanismos que disminuyen la concentración de antimicrobianos en las bacterias, contribuyendo a la resistencia.  Objetivo: Evaluar el efecto del inhibidor de bombas de eflujo Phenylalanine-arginine &#946;-naphthylamide sobre la resistencia bacteriana a los antibióticos ceftazidima, clortetraciclina, ciprofloxacina, ceftriaxona, ampicilina y gentamicina en bacilos gram negativos con múltiples genes de BLEE aisladas.  Materiales y Métodos: Se realizó un estudio experimental con el propósito de analizar los aislamientos de bacilos gram negativos multirresistentes asociados a infecciones procedentes de una Institución prestadora de servicios de salud de Boyacá, para esto, a partir de 81 aislamientos bacterianos se detectaron genes de resistencia antibiótico en 70 cepas mediante reacción en cadena de la polimerasa convencional y secuenciación tipo Sanger.  Resultados: En los 70 aislamientos analizados se evidenció la presencia de determinantes genéticos de resistencia a antibióticos betalactámicos como: bla TEM bla SHV1, bla  SHV2 y bla  CTM-X , con predominancia del gen bla  SHV .  Conclusiones: El ensayo de interacción mostró qué en cepas multirresistentes, la terapia conjunta con inhibidores de bombas de expulsión puede ser una alternativa para el tratamiento, sin embargo, debido a la gran diversidad de las bombas de eflujo, se deben evaluar otras familias de inhibidores para identificar los que sean eficientes en un mayor número de cepas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The rise of bacteria resistant to multiple drugs underscores the need to enhance antimicrobial therapies. Efflux pumps, which decrease the concentration of antimicrobials in bacteria, play a key role in resistance.  Objective: The objective of this study is to evaluate the effect of the efflux pump inhibitor Phenylalanine-arginine ß-naphthylamide on bacterial resistance to antibiotics ceftazidime, chlortetracycline, ciprofloxacin, ceftriaxone, ampicillin, and gentamicin in gram-negative bacilli with multiple ESBL genes isolated.  Materials and Methods: An experimental study was conducted to analyze multi-resistant gram-negative bacillus isolates associated with infections from a healthcare institution in Boyacá. From 81 bacterial isolates, antibiotic resistance genes were detected in 70 strains through conventional polymerase chain reaction and Sanger sequencing.  Results: The analysis of 70 isolates revealed the presence of genetic determinants for beta-lactam antibiotic resistance such as bla  TEM1 , bla  SHV1 , bla  SHV2 y bla  CTM-X ,, with a predominance of the bla SHV gene.  Conclusions: The interaction assay showed that in multi-resistant strains, combination therapy with efflux pump inhibitors could be an alternative for treatment. However, due to the diverse nature of efflux pumps, other families of inhibitors should be evaluated to identify those effective across a larger number of strains.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Farmacorresistencia bacteriana]]></kwd>
<kwd lng="es"><![CDATA[Bacterias Gramnegativas]]></kwd>
<kwd lng="es"><![CDATA[Resistencia a Múltiples Medicamentos]]></kwd>
<kwd lng="es"><![CDATA[Agente Antimicrobiano]]></kwd>
<kwd lng="es"><![CDATA[Beta-Lactamasas]]></kwd>
<kwd lng="es"><![CDATA[Genes MDR]]></kwd>
<kwd lng="en"><![CDATA[Drug resistance]]></kwd>
<kwd lng="en"><![CDATA[Gram-Negative Bacteria]]></kwd>
<kwd lng="en"><![CDATA[Multidrug Resistance]]></kwd>
<kwd lng="en"><![CDATA[Anti-Infective Agents]]></kwd>
<kwd lng="en"><![CDATA[Beta-Lactamases]]></kwd>
<kwd lng="en"><![CDATA[Multidrug Efflux Pump Genes]]></kwd>
</kwd-group>
</article-meta>
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