In vitro activity of ceftazidime-avibactam, imipenem-relebactam, aztreonam-avibactam, and comparators toward carbapenem-resistant and hypervirulent Klebsiella pneumoniae isolates

Microbiol Spectr. 2023 Dec 12;11(6):e0280623. doi: 10.1128/spectrum.02806-23. Epub 2023 Nov 20.

Abstract

To our knowledge, this is the first study to report the in vitro activity of two novel antimicrobial drugs, including imipenem-relebactam (IMR) and aztreonam-avibactam (AZA), toward carbapenem-resistant and hypervirulent Klebsiella pneumoniae (CR-hvKP) strains. Our in vitro activity study revealed that only few antibacterial agents (including several novel agents) exhibit high antimicrobial activity toward carbapenem-resistant Klebsiella pneumoniae (CRKP) and CR-hvKP isolates. IMR and AZA may be promising therapeutic agents for the treatment of infections caused by CRKP and CR-hvKP isolates.

Keywords: aztreonam-avibactam; carbapenem-resistant; ceftazidime-avibactam; hypervirulent Klebsiella pneumoniae; imipenem-relebactam.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Aztreonam / pharmacology
  • Aztreonam / therapeutic use
  • Bacterial Proteins
  • Carbapenem-Resistant Enterobacteriaceae*
  • Carbapenems / pharmacology
  • Carbapenems / therapeutic use
  • Humans
  • Imipenem / pharmacology
  • Imipenem / therapeutic use
  • Klebsiella Infections* / drug therapy
  • Klebsiella Infections* / microbiology
  • Klebsiella pneumoniae
  • Microbial Sensitivity Tests
  • beta-Lactamases

Substances

  • avibactam, ceftazidime drug combination
  • relebactam
  • Aztreonam
  • avibactam
  • Bacterial Proteins
  • beta-Lactamases
  • Anti-Bacterial Agents
  • Imipenem
  • Carbapenems