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. 2016 Feb 26;60(3):1328–1335. doi: 10.1128/AAC.01173-15

TABLE 5.

Summary of results from patients with unfavorable response at the TOC assessment among the ME patients enrolled in the cUTI and cIAI phase 2 trials for ceftazidime-avibactam

Triala Armb Patient no. Age (yr) Pathogen MIC (μg/ml)
Molecular characterization
CAZ CAZ-AVI MER/IMI
cUTI CAZ-AVI 1 28 E. coli 1 0.12 0.12 CTX-M-14 + TEM-1
2 36 E. coli >32 0.25 0.12 CTX-M-15 + OXA-1 + TEM-1
3 57 E. coli 8 0.12 0.12 CTX-M-15 + OXA-1
4 36 P. aeruginosa 4 4 0.5 Screen negativec
IMI 5 76 E. coli 32 0.12 0.06 CTX-M-15 + TEM-1
6 34 E. coli >32 0.12 0.12 CTX-M-15 + TEM-1
7 45 E. coli 8 0.12 0.12 CTX-M-15 + TEM-1
8 45 E. coli 0.5 0.12 0.12 Screen negative
9 50 E. coli 16 0.12 0.12 CTX-M-15 + TEM-1
P. mirabilis ≤0.03 ≤0.03 0.25 Screen negative
10 68 E. coli 0.12 0.06 0.12 Screen negative
11 71 E. cloacae >32 2 0.25 Upregulated AmpC + TEM-1
cIAI CAZ-AVI/MTZ 1 52 E. coli 16 ≤0.03 ≤0.004 CTX-M-15 + OXA-1 + SHV-2
2 40 E. coli >32 2 0.015 CTX-M-15 + OXA-1 + CMY-42
3 49 E. coli 0.25 0.12 0.015 Screen negative
4 30 E. coli 0.06 ≤0.03 0.008 Screen negative
5 33 E. coli 0.12 0.12 0.015 Screen negative
MER 6 20 E. coli >32 0.12 0.015 CTX-M-15 + OXA-1 + SHV-12 + TEM-1
7 82 E. aerogenes 0.12 0.12 0.03 Screen negative
8 39 E. coli 0.12 0.06 0.015 Screen negative
9 69 E. coli 0.12 0.06 0.015 Screen negative
10 26 E. coli 0.12 0.06 0.015 Screen negative
a

cUTI, complicated urinary tract infection; cIAI, complicated intra-abdominal infection.

b

CAZ, ceftazidime; CAZ-AVI, ceftazidime-avibactam; MER, meropenem; IMI, imipenem.

c

Screen negative, isolates that did not meet the MIC-based screening criteria.

d Patient with polymicrobial infections (E. coli-P. mirabilis) at baseline. A molecularly unrelated (PFGE) E. coli isolate (CTX-M-15 + OXA-1) was recovered at visit 5.

e A CTX-M-15-producing E. coli isolate was recovered at visit 5.

f A molecularly unrelated (by PFGE) E. coli isolate (NDM-1 + CTX-M-15 + OXA-1 + CMY-2) was recovered at the follow-up visit.