Clinical Correlation of the CLSI Susceptibility Breakpoint for Piperacillin- Tazobactam against Extended-Spectrum-β-Lactamase-Producing Escherichia coli and Klebsiella Species
Author(s) -
Patrick J. Gavin,
Mira Suseno,
Richard B. Thomson,
J. Michael Gaydos,
Carl L. Pierson,
Diane Halstead,
Jaber Aslanzadeh,
Stephen M. Brecher,
Coleman Rotstein,
Stephen E. Brossette,
Lance R. Peterson
Publication year - 2006
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00381-05
Subject(s) - piperacillin , breakpoint , tazobactam , piperacillin/tazobactam , microbiology and biotechnology , escherichia coli , klebsiella , biology , enterobacteriaceae , klebsiella pneumoniae , beta lactamase , antibiotics , antibiotic resistance , bacteria , imipenem , pseudomonas aeruginosa , genetics , chromosomal translocation , gene
We assessed infections caused by extended-spectrum-β-lactamase-producingEscherichia coli orKlebsiella spp. treated with piperacillin-tazobactam to determine if the susceptibility breakpoint predicts outcome. Treatment was successful in 10 of 11 nonurinary infections from susceptible strains and in 2 of 6 infections with MICs of >16/4 μg/ml. All six urinary infections responded to treatment regardless of susceptibility.
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