Activity of Cefepime-Zidebactam against Multidrug-Resistant (MDR) Gram-Negative Pathogens

This study compared the activity of cefepime + zidebactam (FEP-ZID) and selected currently available antibacterial agents against a panel of multidrug-resistant (MDR) clinical isolates chosen to provide an extreme challenge for antibacterial activity. FEP–ZID had a very broad and potent in...

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Bibliographic Details
Main Authors: Kenneth S. Thomson (Author), Sameh AbdelGhani (Author), James W. Snyder (Author), Gina K. Thomson (Author)
Format: Book
Published: MDPI AG, 2019-03-01T00:00:00Z.
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Summary:This study compared the activity of cefepime + zidebactam (FEP-ZID) and selected currently available antibacterial agents against a panel of multidrug-resistant (MDR) clinical isolates chosen to provide an extreme challenge for antibacterial activity. FEP&#8211;ZID had a very broad and potent in vitro spectrum of activity, and was highly active against many MDR isolates of <i>Enterobacterales</i>, <i>Pseudomonas aeruginosa</i>, and <i>Acinetobacter baumannii</i>. Notably, it inhibited isolates producing carbapenemases of Ambler classes A, B, and D, and <i>P. aeruginosa</i> isolates with multiple resistance mechanisms including combinations of upregulated efflux, diminished or non-functional OprD porins, and AmpC overproduction. Its clinical role will be determined initially by the breakpoints assigned to it, comparison studies with other investigational &#946;-lactamase inhibitor combinations, and ultimately by the developing body of therapeutic outcome data.
Item Description:2079-6382
10.3390/antibiotics8010032