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Részletek

A cikk állandó MOB linkje:
http://mob.gyemszi.hu/detailsperm.jsp?PERMID=151484
MOB:2021/4
Szerzők:Ozger, Hasan Selcuk; Evren, Ebru; Yildiz, Serap Suzuk; Erol, Cigdem; Bayrakdar, Fatma; Azap, Ozlem; Azap, Alpay; Senol, Esin
Tárgyszavak:ANTIBIOTIKUMOK; GYÓGYSZER-REZISZTENCIA; ENTEROBACTERIACEAE; KLINIKAI VIZSGÁLATOK
Folyóirat:Acta Microbiologica et Immunologica Hungarica - 2021. 68. évf. 4. sz.
[https://akjournals.com/view/journals/030/030-overview.xml]


  Ceftazidime-Avibactam susceptibility among carbapenem-resistant Enterobacterales in a pilot study in Turkey / Hasan Selcuk Ozger [et al.]
  Bibliogr.: p. 260-261. - Abstr. eng. - DOI: https://doi.org/10.1556/030.2021.01525
  In: Acta Microbiologica et Immunologica Hungarica. - ISSN 1217-8950. - 2021. 68. évf. 4. sz., p. 256-261. : ill.


This study aimed to detect carbapenemase genes and to determine the in vitro susceptibility of Ceftazidime-Avibactam (CZA) in Enterobacterales isolates. Carbapenemase genes were detected by polymerase chain reaction. CZA sensitivity of isolates was evaluated with broth microdilution (BMD) and disk diffusion methods. A total of 318 carbapenem-resistant Enterobacterales isolates were included. Most of the isolates (n 5 290, 91.2%) were identified as Klebsiella pneumoniae. The most common carbapenemase type was OXA-48 (n 5 82, 27.6%). CZA susceptibility was evaluated in 84 isolates with OXA-48 and KPC carbapenemase activity. Both BMD and disk diffusion methods revealed that 95.2% of the isolates were sensitive to CZA; whereas, 4 (4.76%) isolates were resistant to CZA. Among colistin resistant isolates, 96.5% (n 5 80) of them were susceptible to CZA. Our study demonstrated high in vitro efficacy of CZA in Enterobacterales isolates producing OXA-48 carbapenemase. High susceptibility rates against colistin resistant isolates which generally are also pan drug resistant, makes CZA a promising therapeutic choice for difficult-to-treat infections. Due to its high correlation with the BMD, disk diffusion method is a suitable and more practical method in detecting CZA in vitro activity.  Kulcsszavak: carbapenemase, ceftazidime-avibactam, colistin, Enterobacterales