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- [43] High-level carbapenem resistance in a Klebsiella pneumoniae clinical isolate is due to the combination of blaACT-1 β-lactamase production, porin OmpK35/36 insertional inactivation, and down-regulation of the phosphate transport porin PhoE ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2006, 50 (10) : 3396 - 3406