<p><i>Klebsiella pneumoniae complex</i> (<i>KPc</i>) is a group of opportunistic pathogens that pose a serious threat to public health. Multidrug resistance is increasing, and limiting therapeutic options. Aztreonam-avibactam (AZA) is a combination of an established β-lactam with a new β-lactamase inhibitor. The aim of this study was to assess the susceptibility of multidrug-resistant <i>KPc</i> strains to AZA. The study included 52 ESβL-positive strains and 152 carbapenemase-positive <i>KPc</i> strains. The susceptibility to AZA was tested using the gradient strip method. AZA showed high activity against <i>KPc</i>, with MICs ranging from 0.032 to 0.75 μg ml<sup>-1</sup> for ESβL-positive strains and from 0.016 to 2 μg ml<sup>-1</sup> for carbapenemase-positive strains. The lowest MIC<sub>50</sub> of AZA was obtained for VIM- and ESβL-positive strains at 0.094 μg ml<sup>-1</sup>, and MIC<sub>90</sub> for ESβL-positive strains was 0.125 μg ml<sup>-1</sup>. AZA demonstrated excellent in vitro activity against the analysed strains, suggesting that this antibiotic may be an effective therapeutic option for treating infections caused by multidrug-resistant <i>KPc</i> strains.</p>

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Aztreonam-avibactam: a new combination with activity against multidrug-resistant Klebsiella pneumoniae complex

  • Alicja Sękowska

摘要

Klebsiella pneumoniae complex (KPc) is a group of opportunistic pathogens that pose a serious threat to public health. Multidrug resistance is increasing, and limiting therapeutic options. Aztreonam-avibactam (AZA) is a combination of an established β-lactam with a new β-lactamase inhibitor. The aim of this study was to assess the susceptibility of multidrug-resistant KPc strains to AZA. The study included 52 ESβL-positive strains and 152 carbapenemase-positive KPc strains. The susceptibility to AZA was tested using the gradient strip method. AZA showed high activity against KPc, with MICs ranging from 0.032 to 0.75 μg ml-1 for ESβL-positive strains and from 0.016 to 2 μg ml-1 for carbapenemase-positive strains. The lowest MIC50 of AZA was obtained for VIM- and ESβL-positive strains at 0.094 μg ml-1, and MIC90 for ESβL-positive strains was 0.125 μg ml-1. AZA demonstrated excellent in vitro activity against the analysed strains, suggesting that this antibiotic may be an effective therapeutic option for treating infections caused by multidrug-resistant KPc strains.