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头孢他啶-阿维巴坦及对照药物对在克罗地亚、捷克共和国、匈牙利、波兰、拉脱维亚和立陶宛收集的铜绿假单胞菌和肠杆菌科细菌的抗菌活性:2019年ATLAS监测项目

Antimicrobial activity of ceftazidime-avibactam and comparators against Pseudomonas aeruginosa and Enterobacterales collected in Croatia, Czech Republic, Hungary, Poland, Latvia and Lithuania: ATLAS Surveillance Program, 2019.

作者信息

Adámková V, Mareković I, Szabó J, Pojnar L, Billová S, Horvat Herceg S, Kuraieva A, Możejko-Pastewka B

机构信息

Institute of Medical Biochemistry and Laboratory Diagnostics, General University Hospital, Prague, Czech Republic.

Department of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, Zagreb, Croatia.

出版信息

Eur J Clin Microbiol Infect Dis. 2022 Jun;41(6):989-996. doi: 10.1007/s10096-022-04452-1. Epub 2022 May 20.

Abstract

Antimicrobial susceptibility of clinical isolates collected from sites in central Europe in 2019 was tested by CLSI broth microdilution method and EUCAST breakpoints. Most active were amikacin, ceftazidime-avibactam and colistin; respectively, susceptibility rates among P. aeruginosa (n = 701) were 89.2%, 92.2% and 99.9%; difficult-to-treat (DTR) isolates, 62.5%, 37.5% and 100%; multidrug-resistant (MDR) isolates, 68.3%, 72.9% and 99.5%; meropenem-resistant (MEM-R), metallo-β-lactamase-negative (MBL-negative) isolates, 72.8%, 78.6% and 100%. Among Enterobacterales (n = 1639), susceptibility to ceftazidime-avibactam, colistin and tigecycline was ≥ 97.9%; MDR Enterobacterales, 96.8%, 94.4% and 100%, respectively; DTR isolates, ≥ 76.2% to ceftazidime-avibactam and colistin; MEM-R, MBL-negative isolates, ≥ 90.0% to ceftazidime-avibactam and colistin.

摘要

采用美国临床和实验室标准协会(CLSI)肉汤微量稀释法及欧洲抗菌药物敏感性试验委员会(EUCAST)的断点值,对2019年从欧洲中部地区采集的临床分离株进行了药敏试验。最有效的药物是阿米卡星、头孢他啶-阿维巴坦和黏菌素;在铜绿假单胞菌(n = 701)中,药敏率分别为89.2%、92.2%和99.9%;难治性(DTR)分离株分别为62.5%、37.5%和100%;多重耐药(MDR)分离株分别为68.3%、72.9%和99.5%;耐美罗培南(MEM-R)、金属β-内酰胺酶阴性(MBL阴性)分离株分别为72.8%、78.6%和100%。在肠杆菌科细菌(n = 1639)中,对头孢他啶-阿维巴坦、黏菌素和替加环素的药敏率≥97.9%;MDR肠杆菌科细菌分别为96.8%、94.4%和100%;DTR分离株对头孢他啶-阿维巴坦和黏菌素的药敏率≥76.2%;MEM-R、MBL阴性分离株对头孢他啶-阿维巴坦和黏菌素的药敏率≥90.0%。

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Antimicrobial Resistance in ESKAPE Pathogens.ESKAPE 病原体中的抗微生物药物耐药性。
Clin Microbiol Rev. 2020 May 13;33(3). doi: 10.1128/CMR.00181-19. Print 2020 Jun 17.

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