Table 1.
Organism | Ceftazidime–avibactam
|
Ceftazidime
|
Ceftriaxone
|
Cefepime
|
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
MIC50/90 | MIC range | %S | MIC50/90 | MIC range | %S | MIC50/90 | MIC range | %S | MIC50/90 | MIC range | %S | |
Citrobacter freundii | 0.125/0.5 | ≤0.06–2 | 100 | 0.5/>32 | ≤0.25–>32 | 78.2 | ≤0.25/32 | ≤0.25–>64 | 85.3 | ≤0.25/≤0.25 | ≤0.25–1 | 100 |
Enterobacter aerogenes | 0.25/0.5 | ≤0.06–16 | 98.5 | 0.5/>32 | ≤0.25–>32 | 76.9 | ≤0.25/>64 | ≤0.25–>64 | 72.3 | ≤0.25/≤0.25 | ≤0.25–1 | 98.9 |
Enterobacter cloacae | 0.25/1 | ≤0.06–16 | 99.5 | 0.5/>32 | ≤0.25–>32 | 78.7 | ≤0.25/>64 | ≤0.25–>64 | 73.8 | ≤0.25/2 | ≤0.25–32 | 99.4 |
Escherichia coli | 0.12/0.25 | ≤0.06–4 | 100 | ≤0.25/1 | ≤0.25–>32 | 94.9 | ≤0.25/≤0.25 | ≤0.25–>64 | 93 | ≤0.25/≤0.25 | ≤0.25–>64 | 97.6 |
ESBL-producing | 0.12/0.25 | ≤0.06–1 | 100 | 16/>32 | 1–>32 | 34.8 | >64/>64 | 1–>64 | 0.6 | 8/32 | ≤0.25–>64 | 60.3 |
AmpC-hyperproducing | 0.12/0.5 | ≤0.06–2 | 100 | 16/>32 | 1–>32 | 41.4 | 8/32 | ≤0.25–>64 | 40.2 | ≤0.25/0.5 | ≤0.25–2 | 100 |
Klebsiella oxytoca | 0.12/2 | ≤0.06–2 | 100 | ≤0.25/0.5 | ≤0.25–>32 | 99.3 | ≤0.25/0.5 | ≤0.25–>64 | 93.3 | ≤0.25/≤0.25 | ≤0.25–2 | 100 |
Klebsiella pneumoniae | 0.12/0.5 | ≤0.06–8 | 99.9 | ≤0.25/1 | ≤0.25–.32 | 98.5 | ≤0.25/≤0.25 | ≤0.25–>64 | 96 | ≤0.25/≤0.25 | ≤0.25–64 | 98.5 |
ESBL-producing | 0.5/1 | ≤0.06–2 | 100 | 32/>32 | 4–64 | 66.7 | 64/>64 | ≤0.25–>64 | 10.8 | 4/64 | ≤0.25–64 | 66.7 |
OXA-48-producing | 0.25/0.5 | <0.008–1 | 100 | 256/512 | ≤0.12–512 | N/A | N/A | N/A | N/A | 32/512 | N/A | N/A |
KPC-producing | 0.25/1 | ≤0.06–1 | 100 | >256/>256 | 32–>256 | 0 | N/A | N/A | N/A | 32/128 | N/A | N/A |
Carbapenem-non-susceptible | 0.5/2 | ≤0.03–32 | N/A | >32/>32 | N/A | N/A | N/A | N/A | N/A | >16/>16 | N/A | N/A |
Morganella morganii | ≤0.06/0.12 | ≤0.06–0.5 | 100 | ≤0.25/8 | ≤0.25–16 | 89.7 | ≤0.25/1 | ≤0.25–8 | 96.6 | ≤0.25/≤0.25 | ≤0.25–≤0.25 | 100 |
Proteus mirabilis | ≤0.06/0.12 | ≤0.06–0.25 | 100 | ≤0.25/≤0.25 | ≤0.25–32 | 99.6 | ≤0.25/≤0.25 | ≤0.25–16 | 98 | ≤0.25/≤0.25 | ≤0.25–1 | 100 |
Proteus vulgaris | 0.06/0.25 | ≤0.03–2 | 100 | 0.12/8 | N/A | N/A | N/A | N/A | N/A | ≤0.12/0.5 | N/A | N/A |
Salmonella enterica | 0.25/0.5 | ≤0.03–0.5 | 100 | 0.25/0.5 | N/A | N/A | 0.06/0.125 | N/A | N/A | ≤0.12/0.25 | N/A | N/A |
Serratia marcescens | 0.25/0.5 | ≤0.06–2 | 100 | ≤0.25/1 | ≤0.25–16 | 99.6 | ≤0.25/1 | ≤0.25–64 | 93.8 | ≤0.25/≤0.25 | ≤0.25–8 | 100 |
Burkholderia cepacia | 8/>128 | ≤1–>128 | N/A | 64/>128 | 8–>128 | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Pseudomonas aeruginosa | 2/8 | ≤0.06–>16 | 94.7 | 4/32 | ≤0.25–>32 | 82.8 | 16/>64 | ≤0.25–>64 | N/A | 4/16 | ≤0.25–>64 | 84.9 |
Multidrug-resistant | 8/>16 | 4–>16 | 60.0 | >16/>16 | 4–>16 | 4. | N/A | N/A | N/A | N/A | N/A | NA |
AmpC-derepressed | 4/8 | ≤1–64 | 96.2 | 64/.126 | 8–>128 | 3.8 | N/A | N/A | N/A | N/A | N/A | NA |
Acinetobacter baumannii | 8/>16 | 0.5–>16 | 60.3 | 8/>32 | N/A | 78.2 | 8/64 | 2–>64 | 55.1 | 2/32 | 0.5–>64 | 82 |
Carbapenem-resistant | 32/>32 | 0.25–>32 | N/A | >32/>32 | N/A | N/A | N/A | N/A | N/A | >16/>16 | N/A | N/A |
Haemophilus influenzae | ≤0.06/≤0.06 | ≤0.06–0.1 | 100 | N/A | N/A | N/A | ≤0.06/≤0.06 | ≤0.06–0.25 | 100 | ≤0.25/≤0.25 | ≤0.25–0.5 | 100 |
Notes: MICs were measured in μg/mL. Susceptibility rates for ceftazidime, ceftriaxone, and cefepime were determined by Clinical and Laboratory Standards Institute (CLSI) breakpoints (M100). Susceptibility breakpoints for ceftazidime were applied to ceftazidime–avibactam.
Abbreviations: %S, percent of isolates susceptible to antimicrobial agents; ESBL, extended-spectrum β-lactamase; KPC, Klebsiella pneumoniae carbapenemase; MIC, minimum inhibitory concentration; MIC50, MIC that inhibits 50% of isolates; MIC90, MIC that inhibits 90% of isolates; N/A, not available.