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