Comparative activity of newer β-lactam/β-lactamase inhibitor combinations against Pseudomonas aeruginosa from patients hospitalized with pneumonia in European medical centers in 2020

Eur J Clin Microbiol Infect Dis. 2022 Feb;41(2):319-324. doi: 10.1007/s10096-021-04363-7. Epub 2021 Oct 16.

Abstract

Pseudomonas aeruginosa isolates were consecutively collected from patients with pneumonia in 29 medical centers in 2020 and susceptibility tested by broth microdilution method. Ceftazidime-avibactam (95.5% susceptible), imipenem-relebactam (94.3% susceptible), and ceftolozane-tazobactam (93.3% susceptible) were the most active compounds after colistin (99.5% susceptible). Susceptibility rates for the β-lactam/β-lactamase inhibitor combinations (BL/BLIs) varied against isolates resistant to piperacillin-tazobactam, meropenem, imipenem, and/or ceftazidime. Ceftazidime-avibactam was the most active BL/BLI against resistant subsets from Western Europe, whereas imipenem-relebactam was slightly more active than other BL/BLIs against resistant subsets from Eastern Europe. Susceptibility rates were markedly lower in Eastern Europe than Western Europe.

Keywords: Ceftazidime-avibactam; Ceftolozane-tazobactam; Imipenem-relebactam; Meropenem-vaborbactam; Pseudomonas aeruginosa.

MeSH terms

  • Azabicyclo Compounds
  • Ceftazidime / pharmacology
  • Ceftazidime / therapeutic use
  • Cephalosporins
  • Drug Combinations
  • Drug Resistance, Multiple, Bacterial / drug effects
  • Hospitalization
  • Humans
  • Imipenem / pharmacology
  • Imipenem / therapeutic use
  • Jupiter
  • Microbial Sensitivity Tests
  • Piperacillin, Tazobactam Drug Combination
  • Pneumonia / drug therapy*
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas Infections / microbiology
  • Pseudomonas aeruginosa / drug effects*
  • Tazobactam
  • beta-Lactamase Inhibitors / pharmacology*
  • beta-Lactamase Inhibitors / therapeutic use*

Substances

  • Azabicyclo Compounds
  • Cephalosporins
  • Drug Combinations
  • avibactam, ceftazidime drug combination
  • beta-Lactamase Inhibitors
  • ceftolozane, tazobactam drug combination
  • Piperacillin, Tazobactam Drug Combination
  • Imipenem
  • Ceftazidime
  • Tazobactam
  • relebactam