Activity of Imipenem-Relebactam against a Large Collection of Pseudomonas aeruginosa Clinical Isolates and lsogenic β-Lactam-Resistant Mutants

被引:60
作者
Fraile-Ribot, Pablo A. [1 ]
Zamorano, Laura [1 ]
Orellana, Rocio [1 ]
del Barrio-Tofino, Ester [1 ]
Sanchez-Diener, Irina [1 ]
Cortes-Lara, Sara [1 ]
Lopez-Causape, Carla [1 ]
Cabot, Gabriel [1 ]
Bou, German [2 ]
Martinez-Martinez, Luis [3 ]
Oliver, Antonio [1 ]
Galan, Fatima
Gracia, Irene
Antonio Rodriguez, Manuel
Martin, Lina
Manuel Sanchez, Juan
Vinuela, Laura
Victoria Garcia, Ma
Antonio Lepe, Jose
Aznar, Javier
Lopez-Hernandez, Inma
Seral, Cristina
Javier Castillo-Garcia, Francisco
Isabel Lopez-Calleja, Ana
Aspiroz, Carmen
de la Iglesia, Pedro
Ramon, Susana
Riera, Elena
Cruz Perez, Maria
Gallegos, Carmen
Calvo, Jorge
Dolores Quesada, Maria
Marco, Francesc
Hoyos, Yannick
Pablo Horcajada, Juan
Larrosa, Nieves
Jose Gonzalez, Juan
Tubau, Fe
Capilla, Silvia
Olga Perez-Moreno, Mar
Jose Centelles, Ma
Padilla, Emma
Rivera, Alba
Mirelis, Beatriz
Elisa Rodriguez-Tarazona, Raquel
Arenal-Andres, Noelia
del Pilar Ortega, Maria
Megias, Gregoria
Garcia, Inmaculada
Colmenarejo, Cristina
机构
[1] Inst Invest Sanitaria IIles Balears IdISBa, Serv Microbiol, Hosp Son Espases, Palma De Mallorca, Spain
[2] Inst Invest Biomed A Coruna INIBIC, Hosp Univ La Coruna, Serv Microbiol, La Coruna, Spain
[3] Univ Cordoba, Inst Maimonides Invest Biomed Cordoba IMIBIC, Unidad Gest Clin Microbiol, Hosp Reina Sofia,Dept Microbiol, Cordoba, Spain
关键词
Pseudomonas aeruginosa; imipenem-relebactam; whole-genome sequencing; multidrug resistance; extensively drug resistant; beta-lactam resistance mechanisms; antibiotic resistance; AVIBACTAM;
D O I
10.1128/AAC.02165-19
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Imipenem and imipenem-relebactam MICs were determined for 1,445 Pseudomonas aeruginosa clinical isolates and a large panel of isogenic mutants showing the most relevant mutation-driven beta-lactam resistance mechanisms. Imipenem-relebactam showed the highest susceptibility rate (97.3%), followed by colistin and ceftolozane-tazobactam (both 94.6%). Imipenem-relebactam MICs remained <= 2 mu g/ml in all 16 isogenic PAO1 mutants and in 8 pairs of extensively drug-resistant clinical strains that had developed resistance to ceftolozane-tazobactam and ceftazidime-avibactam due to mutations in OXA-10 or AmpC.
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页数:6
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