Effect of β-lactamase production and β-lactam instability on MIC testing results for Mycobacterium abscessus
Author(s) -
Anna Rominski,
Bettina Schulthess,
Daniel M. Müller,
Peter M. Keller,
Peter Sander
Publication year - 2017
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkx284
Subject(s) - cefoxitin , meropenem , imipenem , microbiology and biotechnology , mycobacterium abscessus , carbapenem , antibiotics , medicine , mycobacterium , biology , antibiotic resistance , bacteria , pathology , genetics , tuberculosis , staphylococcus aureus
Limited treatment options available for Mycobacterium abscessus infections include the parenteral β-lactam antibiotics cefoxitin and imipenem, which show moderate in vitro activity. Other β-lactam antibiotics (except meropenem) have no considerable in vitro activity, due to their rapid hydrolysis by a broad-spectrum β-lactamase (Bla_Mab). We here addressed the impact of β-lactamase production and β-lactam in vitro stability on M. abscessus MIC results and determined the epidemiological cut-off (ECOFF) values of cefoxitin, imipenem and meropenem.
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