| Literature DB >> 29891598 |
Ryan K Shields1,2, M Hong Nguyen3,2, Binghua Hao2, Ellen G Kline1, Cornelius J Clancy1,4.
Abstract
We tested ceftazidime-avibactam and colistin against 24 carbapenem-resistant Enterobacteriaceae (CRE) isolates by time-kill studies. Ceftazidime-avibactam at 0.25×, 1×, and 4× the MIC was bactericidal against 8%, 21%, and 88% of the isolates, respectively. Colistin (2 μg/ml) was bactericidal against 83% (12 h) and 42% (24 h) of the isolates. In combination, synergy and antagonism were identified against 13% and 46% of the isolates, respectively. The combination did not suppress ceftazidime-avibactam resistance. Colistin plus ceftazidime-avibactam did not provide a benefit over ceftazidime-avibactam against most CRE isolates.Entities:
Keywords: CRE; Klebsiella; Klebsiella pneumoniae; antagonism; ceftazidime-avibactam; colistin; synergy
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Year: 2018 PMID: 29891598 PMCID: PMC6105820 DOI: 10.1128/AAC.01018-18
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191