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. 2022 Feb 15;66(2):e01676-21. doi: 10.1128/AAC.01676-21

TABLE 1.

Cumulative MIC distribution of cefepime in the presence and absence of zidebactam, taniborbactam, and enmetazobactam in 400 carbapenemase-producing Enterobacterales strains

Isolate type Cefepime/BLIs combinationsa Cumulative % of isolates at MIC (mg/L)
% isolates with MICs values
≤0.5 1 2 4 8 16 32 64 ≥128 ≤2 mg/L ≥16 mg/L
All isolates (n  =  400)
Cefepime 5.5 12.3 15.0 18.8 20.5 25.5 38.3 52.5 100 15.0 79.5
Cefepime/zidebactam 87.5 96.0 99.0 99.5 100 99.0 0
Zidebactam 64.3 73.3 77.5 78.0 78.0 78.0 79.3 79.3 100 77.5 22.0
Cefepime/taniborbactam 55.0 77.8 90.0 97.0 99.0 99.5 99.5 99.5 100 90.0 1.0
Cefepime/enmetazobactam 36.0 50.3 61.8 67.8 72.5 79.3 83.5 86.5 100 61.8 27.5
All isolates
 No producing ESBLs (n  =  106) Cefepime 15.1 34.9 41.5 47.2 49.1 53.8 59.4 66.0 100 41.5 50.9
Cefepime/zidebactam 76.4 95.3 100 100 0
Zidebactam 63.2 78.3 84.9 84.9 84.9 84.9 85.8 85.8 100 84.9 15.1
Cefepime/taniborbactam 51.9 73.6 88.7 96.2 99.1 100 88.7 0.9
Cefepime/enmetazobactam 34.9 44.3 50.9 53.8 56.6 62.3 65.1 69.8 100 50.9 43.4
 Producing ESBLs (n  =  294) Cefepime 2.0 4.1 5.4 8.5 10.2 15.3 30.6 47.6 100 5.4 89.8
Cefepime/zidebactam 91.5 96.3 98.6 99.3 100 98.6 0
Zidebactam 64.6 71.4 74.8 75.5 75.5 75.5 76.9 76.9 100 74.8 24.5
Cefepime/taniborbactam 56.1 79.3 90.5 97.3 99.0 99.3 99.3 99.3 100 90.5 1.0
Cefepime/enmetazobactam 36.4 52.4 65.6 72.8 78.2 85.4 90.1 92.5 100 65.6 21.8
a

Taniborbactam and enmetazobactam did not show antimicrobial activity, displaying MICs ≥256 mg/L for all isolates.