Table 4.
Clinical and Microbiologic Outcomes Among Patients With Baseline Pathogens Demonstrating Phenotypic Resistance Characteristics (Test of Cure, Microbiologic Modified Intent-to-Treat) [9]
ESBL | Amino-R | CRE | MDR | |||||
---|---|---|---|---|---|---|---|---|
Cure, % (n/N) | Eradication, % (n/N) | Cure, % (n/N) | Eradication, % (n/N) | Cure, % (n/N) | Eradication, % (n/N) | Cure, % (n/N) | Eradication, % (n/N) | |
ZTI-01 | 93 (52/56) | 55 (32/58) | 97 (29/30) | 67 (20/30) | 100 (9/9) | 56 (5/9) | 92 (34/37) | 54 (20/37) |
PIP-TAZ | 93 (51/55) | 47 (27/57) | 94 (29/31) | 38 (12/32) | 85 (11/13) | 31 (4/13) | 90 (28/31) | 36 (12/33) |
Using minimum inhibitory concentrations from an accompanying antibiotic panel or agar dilution supplemented with glucose 6-phosphate for fosfomycin, blood or urine isolates were identified to assess patient and microbiologic outcome. The following definitions were used for this assessment—ESBL: ≥2 µg/mL MIC for aztreonam, ceftazidime, or ceftriaxone; CRE: ≥4 µg/mL imipenem or meropenem; Amino-R: gentamicin ≥8 µg/mL or amikacin ≥32 µg/mL; MDR: nonsusceptibility ≥3 classes, using definitions above plus levofloxacin ≥4 µg/mL and trimethoprim/sulfamethoxazole ≥32 g/mL. Patients could have more than 1 isolate from blood and/or urine sources, and all organisms are presented for completeness. Patients with multiple organisms were counted only once per resistance grouping. If the same species was identified from a different source, the isolate was counted once for microbiological outcome.
Abbreviations: CRE, carbapenem-resistant Enterobacteriaceae; ESBL, extended-spectrum beta-lactamase; MDR, multidrug-resistant; MIC, minimum inhibitory concentration; ZTI-01, fosfomycin for injection.