A 2.5-Year Within-Patient Evolution of Pseudomonas aeruginosa Isolates with In Vivo Acquisition of Ceftolozane-Tazobactam and Ceftazidime-Avibactam Resistance upon Treatment

Author:

Boulant Thibaud12,Jousset Agnès B.123,Bonnin Rémy A.12,Barrail-Tran Aurélie4,Borgel Adrien123,Oueslati Saoussen12,Naas Thierry123ORCID,Dortet Laurent123ORCID

Affiliation:

1. EA7361 Structure, dynamic, function and expression of broad spectrum β-lactamases, Paris-Sud University, Paris Saclay University, Le Kremlin-Bicêtre, France

2. Faculty of Medicine, Paris-Sud University, Paris Saclay University, Le Kremlin-Bicêtre, France

3. Department of Bacteriology-Hygiene, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, France

4. Department of Pharmacy, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, France

Abstract

Ceftolozane-tazobactam is considered to be a last-resort treatment for infections caused by multidrug-resistant (MDR) Pseudomonas aeruginosa . Although resistance to this antimicrobial has been described in vitro , the development of resistance in vivo has rarely been reported. Here, we describe the evolution of resistance to ceftolozane-tazobactam of P. aeruginosa isolates recovered from the same patient during recurrent infections over 2.5 years.

Funder

Agence Nationale de la Recherche

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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