Clinical Correlation of the CLSI Susceptibility Breakpoint for Piperacillin- Tazobactam against Extended-Spectrum-β-Lactamase-Producing Escherichia coli and Klebsiella Species

Author:

Gavin Patrick J.1,Suseno Mira T.1,Thomson Richard B.1,Gaydos J. Michael2,Pierson Carl L.3,Halstead Diane C.4,Aslanzadeh Jaber5,Brecher Stephen6,Rotstein Coleman7,Brossette Stephen E.8,Peterson Lance R.1

Affiliation:

1. Evanston Northwestern Healthcare, Evanston, Illinois

2. Cleveland Veterans Affairs Medical Center, Cleveland, Ohio

3. Hartford Hospital, Hartford, Connecticut

4. University of Michigan Health System, Ann Arbor, Michigan

5. North Florida Pathology Associates and Baptist Health, Jacksonville, Florida

6. Veterans Affairs Boston Healthcare System, West Roxbury, Massachusetts

7. McMaster University, Hamilton Health Sciences, Hamilton, Ontario

8. MedMined, Birmingham, Alabama

Abstract

ABSTRACT We assessed infections caused by extended-spectrum-β-lactamase-producing Escherichia coli or Klebsiella spp. treated with piperacillin-tazobactam to determine if the susceptibility breakpoint predicts outcome. Treatment was successful in 10 of 11 nonurinary infections from susceptible strains and in 2 of 6 infections with MICs of >16/4 μg/ml. All six urinary infections responded to treatment regardless of susceptibility.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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