151. PORÓWNANIE AKTYWNOŚCI IN VITRO POŁĄCZENIA CEFTAZYDYMU Z AWIBAKTAMEM I NAJCZĘŚCIEJ STOSOWANYCH W POLSCE ANTYBIOTYKÓW W ZAKAŻENIACH BAKTERIAMI GRAM-UJEMNYMI Z RZĘDU ENTEROBACTERALES I PSEUDOMONAS AERUGINOSA: DANE Z LAT 2014-2018 Z OŚRODKÓW UCZESTNICZĄCYCH W PROGRAMIE BADAWCZYM ATLAS
- Author
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PRAŻYŃSKA, MAŁGORZATA B., POJNAR, ŁUKASZ, ZALAS-WIĘCEK, PATRYCJA, GOSPODAREK-KOMKOWSKA, EUGENIA, KĘDZIERSKA, JOLANTA, KUJAWSKA, ANNA, MOŻEJKO-PASTEWKA, BARBARA, and BOGIEL, MONIKA
- Abstract
Introduction Gram-negative bacteria are an important etiological factor of broad-spectrum nosocomial infections. The spread of multidrug-resistant strains, both belonging to the order Enterobacterales and non-fermenting bacilli Pseudomonas aeruginosa, is a serious challenge nowadays for medicine. Investigating new therapeutic options and monitoring the antibiotic susceptibility of bacteria is an important part of preventing the development of infections with multi-drug resistant strains. The aim of the study was to compare the in vitro activity of the combination of ceftazidime and avibactam with the most commonly used antibiotics in Poland for the treatment of infections caused by Gram-negative Enterobacterales and P. aeruginosa, as part of the ATLAS research program. Material and methods In the study the sensitivity of 1,677 Enterobacterales strains and 500 non-fermenting P. aeruginosa strains, isolated in 2014-2018 in the centers participating in the program, to ceftazidime with avibactam and other antibiotics used to treat infections caused by Gram-negative bacilli were analyzed. Results Almost 99% (98.9%) of the Enterobacterales strains, including the strains producing ESBL--type beta-lactamases (96.9%), were susceptible to ceftazidime with avibactam. A high percentage of Escherichia coli and Klebsiella pneumoniae isolates were susceptible to ceftazidime with avibactam: 99.8% and 98.9%, respectively, including ESBL-positive strains of the same species, 98.5%, and 98.7%, respectively. The susceptibility of P. aeruginosa strains to ceftazidime with avibactam has evolved at the level of 91.7%, which placed ceftazidime with avibactam the second best, after colistin, antibiotic against these bacteria. Conclusions The presented results, together with the pharmacokinetic, pharmacodynamic, clinical, and safety results published so far, indicate that the combination of ceftazidime with avibactam is a valuable treatment option for infections caused by Enterobacterales and P. aeruginosa, including infections with multidrug-resistant strains. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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