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对获得性广谱β-内酰胺酶对单独或联合使用β-内酰胺酶抑制剂阿维巴坦和替加环素的口服青霉素类/碳青霉烯类(替比培南、舒巴坦、法罗培南)敏感性的影响。

Impact of acquired broad-spectrum β-lactamases on susceptibility to oral penems/carbapenems (tebipenem, sulopenem, and faropenem) alone or in combination with avibactam and taniborbactam β-lactamase inhibitors in .

机构信息

Emerging Antibiotic Resistance Unit, Medical and Molecular Microbiology, Department of Medicine, University of Fribourg , Fribourg, Switzerland.

Division of Intensive Care Unit, University Hospitals of Geneva , Geneva, Switzerland.

出版信息

Antimicrob Agents Chemother. 2023 Oct 18;67(10):e0054723. doi: 10.1128/aac.00547-23. Epub 2023 Sep 5.

Abstract

The impact of β-lactamases on susceptibility to oral penems/carbapenems (tebipenem, sulopenem, and faropenem) and other carbapenem molecules was evaluated in , alone and in combination with avibactam or taniborbactam β-lactamase inhibitors. Tebipenem and sulopenem exhibited a similar spectrum of activity compared to the intravenous carbapenems and displayed lower MIC values than ceftibuten-avibactam against producing extended-spectrum β-lactamases or AmpC enzymes. Combined with taniborbactam, tebipenem and sulopenem exhibited low MIC values against almost all tested recombinant , including metallo-β-lactamase producers.

摘要

β-内酰胺酶对口服青霉素类/碳青霉烯类药物(替比培南、司帕培南和法罗培南)和其他碳青霉烯类分子的敏感性的影响,在 单独和与β-内酰胺酶抑制剂阿维巴坦或替加环素联合使用时进行了评估。替比培南和司帕培南与静脉用碳青霉烯类药物具有相似的活性谱,并显示出比头孢布烯-阿维巴坦更低的 MIC 值,对产生超广谱β-内酰胺酶或 AmpC 酶的 。与替加环素联合使用时,替比培南和司帕培南对几乎所有测试的重组 均表现出低 MIC 值,包括金属β-内酰胺酶产生菌。

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