Τίτλος:
Activity of Sulbactam-Durlobactam and Comparators Against a National Collection of Carbapenem-Resistant Acinetobacter baumannii Isolates From Greece
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Acinetobacter baumannii is a leading cause of healthcare-associated infections worldwide, due to both its persistence in the hospital setting and ability to acquire high levels of antibiotic resistance. Carbapenem-resistant A. baumannii isolates (CRAB) limit the activity of current antimicrobial regimens and new alternatives or adjuncts to traditional antibiotics are urgently needed. Durlobactam is a novel broad-spectrum inhibitor of serine-type β-lactamases that restores sulbactam (SUL) activity against A. baumannii. The sulbactam-durlobactam (SD) combination has recently completed Phase 3 testing in the global ATTACK trial. Objectives: The aim of this study is to evaluate the in vitro activity of SD versus comparators against a representative nationwide collection of CRAB isolates. Methods: One hundred ninety CRAB isolates were collected from clinical samples of patients hospitalized in 11 hospitals throughout Greece during 2015. In vitro activities of SD and comparators (SUL alone, amikacin, minocycline, imipenem, meropenem, colistin, SD and imipenem combined with SD) were determined by broth microdilution. Results: Durlobactam restored sulbactam activity against the majority of the strains tested, with SD exhibiting the lowest MIC90 (8 μg/ml) relative to the other single comparators tested; 87.9% of the isolates had SD MICs ≤4/4 µg/ml. The most active comparator was colistin (MIC90 = 16 μg/ml). The addition of imipenem further lowered the MIC90 of SD by one two-fold dilution. Conclusions: This study demonstrated the potential utility of SD for the treatment of infections caused by A. baumannii. If its clinical efficacy is confirmed, SD may be an important therapeutic option for CRAB infections. Copyright © 2022 Petropoulou, Siopi, Vourli and Pournaras.
Συγγραφείς:
Petropoulou, D.
Siopi, M.
Vourli, S.
Pournaras, S.
Περιοδικό:
Frontiers in Cellular and Infection Microbiology
Εκδότης:
Frontiers Media S.A
Λέξεις-κλειδιά:
amikacin; aztreonam; beta lactamase; beta lactamase inhibitor; carbapenem; ciprofloxacin; colistin; durlobactam; genomic DNA; gentamicin; imipenem; lamivudine; meropenem; minocycline; RNA 16S; serine; sulbactam, Acinetobacter baumannii; antibacterial activity; antibiotic sensitivity; Article; bacterium isolate; broth dilution; carbapenem resistant Acinetobacter baumannii; controlled study; disk diffusion; Escherichia coli; gene sequence; genetic variability; Greece; hospitalization; human; MIC90; minimum inhibitory concentration; multidrug resistance; nonhuman; phylogenetic tree; polymerase chain reaction; Pseudomonas aeruginosa; quality control; treatment response
DOI:
10.3389/fcimb.2021.814530
