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What non-carbapenem antibiotics are active against ESBL-producing Enterobacteriaceae?

International Journal of Antimicrobial Agents Apr 02, 2018

Bouxom H, et al. - Researchers determined the activity of 18 non-carbapenem antibiotics on 100 ESBL-producing Escherichia coli (ESBL-Ec) and 50 ESBL-producing Klebsiella pneumoniae (ESBL-Kp) isolated from urinary tract infections and bacteremia in 2016. E. coli that produced ESBL were found to be fully susceptible to ertapenem and ceftazidime-avibactam and a great majority were susceptible to fosfomycin (98%), piperacillin-tazobactam (97%), amikacin (97%) and nitrofurantoin (96%). On ESBL producing K. pneumoniae, ceftazidime-avibactam was fully active, however, ertapenem, amikacin and mecillinam were active on 98, 94 and 90% of isolates, respectively. Ceftazidime-avibactam was identified as the most efficient alternative.
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