In vitro activities of ceftazidime-avibactam and aztreonam-avibactam against 372 Gram-negative bacilli collected in 2011 and 2012 from 11 teaching hospitals in China

Antimicrob Agents Chemother. 2014;58(3):1774-8. doi: 10.1128/AAC.02123-13. Epub 2013 Dec 16.

Abstract

Ceftazidime-avibactam, aztreonam-avibactam, and comparators were tested by reference broth microdilution against 372 nonrepetitive Gram-negative bacilli (346 unselected plus 26 selected meropenem-nonsusceptible Enterobacteriaceae isolates) collected from 11 teaching hospitals in China in 2011 and 2012. Meropenem-nonsusceptible isolates produced extended-spectrum β-lactamases (ESBLs; e.g., CTX-M-14/3), AmpCs (e.g., CMY-2), and/or carbapenemases (e.g., KPC-2 and NDM-1). Avibactam potentiated the activity of ceftazidime against organisms with combinations of ESBLs, AmpCs, and KPC-2. Aztreonam-avibactam was active against all β-lactamase producers (including producers of NDM-1 and IMP-4/8) except blaOXA-containing Acinetobacter baumannii and some Pseudomonas aeruginosa isolates.

MeSH terms

  • Azabicyclo Compounds / administration & dosage
  • Azabicyclo Compounds / pharmacology*
  • Aztreonam / administration & dosage
  • Aztreonam / pharmacology*
  • Ceftazidime / administration & dosage
  • Ceftazidime / pharmacology*
  • China / epidemiology
  • Drug Combinations
  • Drug Resistance, Bacterial
  • Enterobacteriaceae / drug effects
  • Gram-Negative Bacteria / drug effects*
  • Gram-Negative Bacterial Infections / drug therapy
  • Hospitals, Teaching
  • Humans
  • In Vitro Techniques
  • Microbial Sensitivity Tests
  • beta-Lactamases / metabolism

Substances

  • Azabicyclo Compounds
  • Drug Combinations
  • avibactam
  • Ceftazidime
  • beta-Lactamases
  • Aztreonam