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新型头孢布烯-阿维巴坦、头孢他啶-阿维巴坦及对照药物对来自美国各地门诊中心和疗养院的一组受试菌株的活性(2022 - 2024年)

Activity of novel ceftibuten-avibactam, ceftazidime-avibactam, and comparators against a challenge set of from outpatient centers and nursing homes across the United States (2022-2024).

作者信息

Fouad Aliaa, Bobenchik April M, Chamberland Robin, Clark Andrew E, Huse Holly K, Martin Isabella W, Mochon A Brian, Munson Erik, Sfeir Maroun M, Srodon Monica, Taylor Kimberly, Wang Yungchou, Westblade Lars F, Nicolau David P, Asempa Tomefa E

机构信息

Center for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.

Department of Pathology, Division of Clinical Pathology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.

出版信息

Antimicrob Agents Chemother. 2025 May 7;69(5):e0186724. doi: 10.1128/aac.01867-24. Epub 2025 Apr 3.

Abstract

Ceftibuten is being developed in combination with the oral prodrug of avibactam. Outpatient isolates ( = 500) from 11 US states underwent susceptibility testing with manual broth microdilution. Ceftibuten had susceptibility rates of 64% (CLSI) and 23% (EUCAST). Ceftibuten-avibactam achieved 96.4% inhibition at MIC ≤ 1 µg/mL. Susceptibility rates were as follows: cefpodoxime (2.6%), ceftriaxone (1%), ceftazidime-avibactam (99.6%), tebipenem (89%), ertapenem (94.4%), levofloxacin (26.6%), trimethoprim-sulfamethoxazole (40.2%), and fosfomycin (96.8%). Ceftibuten-avibactam demonstrates potent activity against cephalosporin non-susceptible isolates.

摘要

头孢布烯正在与阿维巴坦的口服前体药物联合开发。从美国11个州收集了500株门诊分离菌,采用手工肉汤微量稀释法进行药敏试验。头孢布烯的敏感率分别为64%(CLSI标准)和23%(EUCAST标准)。头孢布烯-阿维巴坦在MIC≤1µg/mL时的抑制率达到96.4%。药敏率如下:头孢泊肟(2.6%)、头孢曲松(1%)、头孢他啶-阿维巴坦(99.6%)、替比培南(89%)、厄他培南(94.4%)、左氧氟沙星(26.6%)、甲氧苄啶-磺胺甲恶唑(40.2%)和磷霉素(96.8%)。头孢布烯-阿维巴坦对头孢菌素不敏感的分离菌显示出强效活性。

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