In vitro susceptibility of carbapenem-resistant Enterobacterales to eravacycline - the first report from Croatia.

Autor: Jurić I; Department of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, Zagreb, Croatia., Bošnjak Z; Department of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, Zagreb, Croatia.; School of Medicine, University of Zagreb, Zagreb, Croatia., Ćorić M; School of Medicine, University of Zagreb, Zagreb, Croatia.; Department of Gynaecology and Obstetrics, University Hospital Centre Zagre, Zagreb, Croatia., Lešin J; School of Medicine, University of Zagreb, Zagreb, Croatia.; Department of Gynaecology and Obstetrics, University Hospital Centre Zagre, Zagreb, Croatia., Mareković I; Department of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, Zagreb, Croatia.; School of Medicine, University of Zagreb, Zagreb, Croatia.
Jazyk: angličtina
Zdroj: Journal of chemotherapy (Florence, Italy) [J Chemother] 2022 Feb; Vol. 34 (1), pp. 67-70. Date of Electronic Publication: 2021 Aug 17.
DOI: 10.1080/1120009X.2021.1965335
Abstrakt: The main obstacle in treatment of infections caused by carbapenem-resistant Enterobacterales (CRE) are limited treatment options. The novel antimicrobial agents other than β-lactams with activity not being dependent on β-lactamase class are especially important. Eravacycline (ERV) is the first fully synthetic fluorocycline indicated for the treatment of complicated intra-abdominal infections in adults. Eighty CRE isolates at the University Hospital Centre Zagreb, Croatia were examined for susceptibility to ERV by disc diffusion method and minimal inhibitory concentration (MIC). Total of 54 (54/80; 67.5%) isolates were susceptible to ERV with MIC 50 of ≤0.5 μg/mL and MIC 90 of 4 μg/mL. Susceptibility of OXA-48 positive isolates was not significantly higher in comparison with NDM positive (P = 0.539) and VIM positive (P = 0.7805) isolates. ERV is possible alternative to novel β-lactamase inhibitor combinations for treatment of CRE infections with antimicrobial susceptibility testing of CRE isolate to ERV in particular patient as condicio sine qua non before administration.
Databáze: MEDLINE