In vitro activity of cefiderocol against aerobic Gram-negative bacterial pathogens from Germany.


Journal

International journal of antimicrobial agents
ISSN: 1872-7913
Titre abrégé: Int J Antimicrob Agents
Pays: Netherlands
ID NLM: 9111860

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 28 04 2020
revised: 20 07 2020
accepted: 29 07 2020
pubmed: 8 8 2020
medline: 28 5 2021
entrez: 8 8 2020
Statut: ppublish

Résumé

Cefiderocol (CID), also known as S-649266, a novel siderophore cephalosporin, possesses potent activity against multidrug-resistant aerobic Gram-negative bacteria (GNB). This study aimed to determine the in vitro activity of CID against two different sets of GNB: i) a random sample of 213 clinical isolates, including 17 extended-spectrum beta-lactamase (ESBL) producers, obtained from intensive care unit patients with nosocomial infections collected during a multicentre surveillance study (set I); and ii) a group of 59 challenge GNB producing various types of carbapenemases (CP; set II). Minimum inhibitory concentrations (MICs) were determined using the microdilution method according to the standard ISO 20776-1. Iron-depleted medium was used for testing CID. CID inhibited 97.2% of set I isolates at the EUCAST susceptibility breakpoint of ≤ 2 mg/L. The concentrations of CID inhibiting 50% and 90% (MIC CID showed potent activity against Acinetobacter baumannii, Enterobacterales and Pseudomonas aeruginosa, including CP-producing isolates. Overall, CID inhibited 259 of 272 (95.2%) GNB at ≤ 2 mg/L.

Identifiants

pubmed: 32758648
pii: S0924-8579(20)30311-3
doi: 10.1016/j.ijantimicag.2020.106128
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0
Cephalosporins 0

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

106128

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

Auteurs

Michael Kresken (M)

Antiinfectives Intelligence GmbH, Rheinbach, Germany; Rheinische Fachhochschule Köln gGmbH, Cologne, Germany. Electronic address: michael.kresken@antiinfectives-intelligence.de.

Miriam Korte-Berwanger (M)

German National Reference Centre for Multidrug-Resistant Gram-negative Bacteria, Bochum, Germany.

Sören G Gatermann (SG)

German National Reference Centre for Multidrug-Resistant Gram-negative Bacteria, Bochum, Germany.

Yvonne Pfeifer (Y)

Robert Koch Institute, Department of Infectious Diseases, FG13 Nosocomial Pathogens and Antibiotic Resistances, Wernigerode, Germany.

Niels Pfennigwerth (N)

German National Reference Centre for Multidrug-Resistant Gram-negative Bacteria, Bochum, Germany.

Harald Seifert (H)

Institute for Medical Microbiology, Immunology and Hygiene, University Hospital Cologne, Cologne, Germany; German Center for Infection Research (DZIF), partner site Cologne-Bonn, Cologne, Germany.

Guido Werner (G)

Robert Koch Institute, Department of Infectious Diseases, FG13 Nosocomial Pathogens and Antibiotic Resistances, Wernigerode, Germany.

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Classifications MeSH