Generating Genotype-Specific Aminoglycoside Combinations with Ceftazidime/Avibactam for KPC-Producing Klebsiella pneumoniae

Author:

Huang Yanqin1ORCID,Sokolowski Karol1,Rana Amisha1,Singh Nidhi1,Wang Jiping2,Chen Ke2,Lang Yinzhi3,Zhou Jieqiang3,Kadiyala Neera1,Krapp Fiorella4,Ozer Egon A.5,Hauser Alan R.6ORCID,Li Jian2ORCID,Bulitta Jürgen B.3ORCID,Bulman Zackery P.1ORCID

Affiliation:

1. Department of Pharmacy Practice, University of Illinois at Chicago College of Pharmacy, Chicago, Illinois, USA

2. Biomedicine Discovery Institute, Department of Microbiology, Monash University, Clayton, Australia

3. Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Orlando, Florida, USA

4. Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru

5. Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

6. Department of Microbiology-Immunology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

Abstract

Antibiotic combinations, including ceftazidime/avibactam (CAZ/AVI), are frequently employed to combat KPC-producing Klebsiella pneumoniae (KPC-Kp), though such combinations have not been rationally optimized. Clinical KPC-Kp isolates with common genes encoding aminoglycoside-modifying enzymes (AMEs), aac(6′)-Ib′ or aac(6′)-Ib , were used in static time-kill assays ( n  = 4 isolates) and the hollow-fiber infection model (HFIM; n  = 2 isolates) to evaluate the activity of gentamicin, amikacin, and CAZ/AVI alone and in combinations.

Funder

Chicago Biomedical Consortium

Australian National Health and Medical Research Council

HHS | National Institutes of Health

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference48 articles.

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5. Multicenter Clinical and Molecular Epidemiological Analysis of Bacteremia Due to Carbapenem-Resistant Enterobacteriaceae (CRE) in the CRE Epicenter of the United States

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