TY - JOUR TI - Elevated MICs of susceptible antipseudomonal cephalosporins in non-carbapenemase-producing, carbapenem-resistant pseudomonas aeruginosa: Implications for dose optimization AU - Gill, C.M. AU - Aktaş, E. AU - Alfouzan, W. AU - Bourassa, L. AU - Brink, A. AU - Burnham, C.-A.D. AU - Canton, R. AU - Carmeli, Y. AU - Falcone, M. AU - Kiffer, C. AU - Marchese, A. AU - Martinez, O. AU - Pournaras, S. AU - Seifert, H. AU - Thabit, A.K. AU - Villegas, M.V. AU - Westblade, L.F. AU - Nicolau, D.P. AU - Wille, J. AU - Rezende, T.T.F. AU - Cekin, Z. AU - Malkocoglu, G. AU - Gijón, D. AU - Tarakmeh, L.A. AU - Chu, C.Y. AU - Opperman, C.J. AU - Tootla, H.D. AU - Moodley, C. AU - Coetzee, J. AU - Vourli, S. AU - Dimopoulos, G. AU - Attallah, D.M. AU - Tiseo, G. AU - Leonildi, A. AU - Giordano, C. AU - Barnini, S. AU - Menichetti, F. AU - Di Pilato, V. AU - Codda, G. AU - Vena, A. AU - Giacobbe, D.R. AU - Satlin, M. AU - Cardona, A. AU - Curtis, L. AU - Fang, F. AU - Thomson, G. AU - Thomson, K. AU - the ERACE-PA Global Study Group JO - Antimicrobial Agents and Chemotherapy PY - 2021 VL - 65 TODO - 11 SP - null PB - American Society for Microbiology SN - 0066-4804, 1098-6596 TODO - 10.1128/AAC.01204-21 TODO - cefepime; ceftazidime; antiinfective agent; azabicyclo derivative; carbapenem derivative; ceftazidime; cephalosporin derivative, antibiotic sensitivity; Article; bacterium isolate; carbapenem resistant Pseudomonas aeruginosa; clinical laboratory standard; controlled study; dose calculation; drug potency; in vitro study; maximum permissible dose; MIC50; MIC90; Monte Carlo method; nonhuman; process optimization; human; microbial sensitivity test; Pseudomonas aeruginosa; Pseudomonas infection, Anti-Bacterial Agents; Azabicyclo Compounds; Carbapenems; Ceftazidime; Cephalosporins; Humans; Microbial Sensitivity Tests; Pseudomonas aeruginosa; Pseudomonas Infections TODO - The present study evaluated the in vitro potency of ceftazidime and cefepime among carbapenem-resistant Pseudomonas aeruginosa isolates collected as part of a global surveillance program and assessed the pharmacodynamic implications using previously published population pharmacokinetics. When susceptible, MICs resulted at the high end of distribution for both ceftazidime and cefepime, thus 6 g/day was required to achieve optimal pharmacodynamic profiles. These findings should be considered in the clinic and for the application of CLSI susceptibility breakpoints. © 2021 American Society for Microbiology. ER -