Activity of imipenem/relebactam against Enterobacterales and Pseudomonas aeruginosa in Spain. SMART 2016-2020

García-Fernández, Sergio ; Calvo, Jorge ; Cercenado, Emilia ; Suárez-Barrenechea, Ana Isabel ; Fernández-Billón, María ; Castillo, Francisco Javier ; Gálvez-Benítez, Lydia ; Tubau, Fe ; Figueroa Cerón, Ruth Esther ; Hernández-Cabezas, Alicia ; González Romo, Fernando ; Fariñas, María Carmen ; Gómez, María ; Díaz-Regañón, Jazmín ; Cantón, Rafael

Resumen: Objectives. To determine susceptibility to the novel β-lactam/β-lactamase inhibitor combination imipenem/relebactam in clinical isolates recovered from intra-abdominal (IAI), urinary (UTI), respiratory (RTI) and bloodstream (BSI) infections in the SMART (Study for Monitoring Antimicrobial Resistance Trends) study in SPAIN during 2016 – 2020. Methods. Broth microdilution MICs for imipenem/relebactam and comparators were determined by a central laboratory against isolates of Enterobacterales and Pseudomonas aeruginosa. MICs were interpreted using EUCAST-2021 breakpoints. Results. In total, 5,210 Enterobacterales and 1,418 P. aeruginosa clinical isolates were analyzed. Imipenem/relebactam inhibited 98.8% of Enterobacterales. Distinguishing by source of infection susceptibility was 99.1% in BSI, 99.2% in IAI, 97.9% in RTI, and 99.2% in UTI. Of intensive care unit isolates (ICU) 97.4% were susceptible and of non-ICU isolates 99.2% were susceptible. In Enterobacterales, activity against Class A, Class B and Class D carbapenemases was 96.2%, 15.4% and 73.2%, respectively. In P. aeruginosa, imipenem/relebactam was active in 92.2% of isolates. By source of infection it was 94.8% in BSI, 92.9% in IAI, 91.7% in RTI, and 93.1% in UTI. An 88.7% of ICU isolates and 93.6% of non-ICU isolates were susceptible to imipenem/relebactam. Imipenem/relebactam remained active against P. aeruginosa ceftazidime-resistant (76.3%), cefepime-resistant (73.6%), imipenem-resistant (71.5%) and piperacillin-resistant (78.7%) isolates. Of all multidrug-resistant or difficult-to-treat resistance P. aeruginosa isolates, 75.1% and 46.2%, respectively, were susceptible to imipenem/relebactam. Conclusions. Imipenem/relebactam showed high rates of susceptibility in Enterobacterales and P. aeruginosa isolates from different sources of infection as well as depending on patients’ location (ICU or non-ICU scenarios).

Idioma: Inglés

DOI: 10.37201/req/007.2023

Año: 2023

Publicado en: Revista española de quimioterapia 36, 3 (2023), 302-309
ISSN: 0214-3429

Factor impacto JCR: 1.9 (2023)

Categ. JCR: PHARMACOLOGY & PHARMACY rank: 231 / 354 = 0.653 (2023) - Q3 - T2
Categ. JCR: MICROBIOLOGY rank: 130 / 161 = 0.807 (2023) - Q4 - T3

Factor impacto CITESCORE: 2.9 - Microbiology (medical) (Q3) - Pharmacology (Q3)

Factor impacto SCIMAGO: 0.399 - Medicine (miscellaneous) (Q3) - Pharmacology (Q3) - Microbiology (medical) (Q3)

Tipo y forma: Artículo (Versión definitiva)