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  1. Article ; Online: Global Threat of Carbapenem-Resistant Gram-Negative Bacteria.

    Jean, Shio-Shin / Harnod, Dorji / Hsueh, Po-Ren

    Frontiers in cellular and infection microbiology

    2022  Volume 12, Page(s) 823684

    Abstract: Infections caused by multidrug-resistant (MDR) and extensively drug-resistant (XDR) Gram-negative bacteria (GNB), including carbapenem-resistant (CR) Enterobacterales (CRE; harboring ... ...

    Abstract Infections caused by multidrug-resistant (MDR) and extensively drug-resistant (XDR) Gram-negative bacteria (GNB), including carbapenem-resistant (CR) Enterobacterales (CRE; harboring mainly
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Carbapenems/pharmacology ; Carbapenems/therapeutic use ; Drug Resistance, Multiple, Bacterial ; Gram-Negative Bacteria/genetics ; Microbial Sensitivity Tests
    Chemical Substances Anti-Bacterial Agents ; Carbapenems
    Language English
    Publishing date 2022-03-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2619676-1
    ISSN 2235-2988 ; 2235-2988
    ISSN (online) 2235-2988
    ISSN 2235-2988
    DOI 10.3389/fcimb.2022.823684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Old and re-purposed drugs for the treatment of COVID-19.

    Jean, Shio-Shin / Hsueh, Po-Ren

    Expert review of anti-infective therapy

    2020  Volume 18, Issue 9, Page(s) 843–847

    Abstract: ... ...

    Abstract Introduction
    MeSH term(s) Angiotensin Receptor Antagonists/pharmacology ; Angiotensin-Converting Enzyme Inhibitors/pharmacology ; Antiviral Agents/pharmacology ; Betacoronavirus/drug effects ; COVID-19 ; Coronavirus Infections/drug therapy ; Drug Repositioning/methods ; Humans ; Immunologic Factors/pharmacology ; Pandemics ; Pneumonia, Viral/drug therapy ; SARS-CoV-2 ; Treatment Outcome
    Chemical Substances Angiotensin Receptor Antagonists ; Angiotensin-Converting Enzyme Inhibitors ; Antiviral Agents ; Immunologic Factors
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2181279-2
    ISSN 1744-8336 ; 1478-7210
    ISSN (online) 1744-8336
    ISSN 1478-7210
    DOI 10.1080/14787210.2020.1771181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Use of Multiple Doses of Intravenous Infusion of Umbilical Cord-Mesenchymal Stem Cells for the Treatment of Adult Patients with Severe COVID-19-Related Acute Respiratory Distress Syndrome: Literature Review.

    Hsueh, Po-Ren / Ho, Sung-Jung / Hsieh, Po-Chuen / Liu, I-Min / Jean, Shio-Shin

    Stem cells international

    2023  Volume 2023, Page(s) 7179592

    Abstract: Objectives: Acute respiratory distress syndrome (ARDS) is a critical complication in severe COVID-19 patients. The intravenous infusion (IVF) of umbilical cord- (UC-) mesenchymal stem cells (MSCs), validated to substantially reduce the release of ... ...

    Abstract Objectives: Acute respiratory distress syndrome (ARDS) is a critical complication in severe COVID-19 patients. The intravenous infusion (IVF) of umbilical cord- (UC-) mesenchymal stem cells (MSCs), validated to substantially reduce the release of several inflammatory cytokines
    Methods: We reviewed the 2020-2022 PubMed literature database concerning the clinical efficacy of IVF-UC-MSCs among severe COVID-19 patients.
    Results: The data of COVID-19 case series in the PubMed literature revealed a notable heterogeneity in the therapeutic dosage (a single dose: 1-10 × 10
    Conclusions: According to our analysis, the ideal treatment dosage of IVF-UC-MSCs for severe COVID-19-induced ARDS is likely 5 × 10
    Language English
    Publishing date 2023-08-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2573856-2
    ISSN 1687-9678 ; 1687-966X
    ISSN (online) 1687-9678
    ISSN 1687-966X
    DOI 10.1155/2023/7179592
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Minimum inhibitory concentrations of antifungals against invasive isolates of Cryptococcus species worldwide: Global antifungal antimicrobial testing leadership and surveillance program, 2010-2020.

    Jean, Shio-Shin / Liu, Chia-Ying / Huang, Yu-Tsung / Ko, Wen-Chien / Ho, Mao-Wang / Liu, I-Min / Hsieh, Po-Chuen / Hsueh, Po-Ren

    International journal of antimicrobial agents

    2024  Volume 63, Issue 3, Page(s) 107090

    Abstract: This study examined the geographic distribution of minimum inhibitory concentrations (MICs) of antifungals against Cryptococcus isolates. Data were collected on the MICs of specific antifungals (amphotericin B, 5-flucytosine, fluconazole, voriconazole, ... ...

    Abstract This study examined the geographic distribution of minimum inhibitory concentrations (MICs) of antifungals against Cryptococcus isolates. Data were collected on the MICs of specific antifungals (amphotericin B, 5-flucytosine, fluconazole, voriconazole, posaconazole, and isavuconazole) against various Cryptococcus species for the period 2010 to 2020 from the Antimicrobial Testing Leadership and Surveillance database. Cryptococcus isolates were collected from samples of blood and cerebrospinal fluid (CSF) from patients hospitalized in different regions worldwide. We applied the epidemiological cutoff values (ECVs) of antifungals against various Cryptococcus species to distinguish wild-type (WT) from non-WT Cryptococcus isolates. A total of 395 isolates of Cryptococcus species cultured from blood (n = 201) or CSF (n = 194) were analyzed. C. grubii (n = 270), C. neoformans (n = 111), and C. gattii (n = 11) were the three predominant species causing bloodstream infections (BSI) or meningitis/meningoencephalitis (MME). The proportion of MICs above the ECV (1 mg/L) for amphotericin B among C. neoformans isolates was significantly lower than that among C. gattii isolates (MICs >0.5 mg/L; P < 0.001), as evaluated using the chi-square test. For most isolates of the three predominant Cryptococcus species, the MICs of new triazoles were ≤0.25 mg/L. The MICs of fluconazole and amphotericin B in the BSI/MME-causing Cryptococcus isolates collected from patients hospitalized in the Asia-Western Pacific region and Europe were significantly lower (i.e., the distributions were more leftward) than those in North America and Latin America. Ongoing monitoring of MIC data for important antifungals against cryptococcosis is crucial.
    MeSH term(s) Humans ; Antifungal Agents/pharmacology ; Amphotericin B ; Fluconazole/pharmacology ; Leadership ; Anti-Infective Agents ; Cryptococcus neoformans ; Cryptococcus gattii ; Endrin/analogs & derivatives
    Chemical Substances Antifungal Agents ; Amphotericin B (7XU7A7DROE) ; Fluconazole (8VZV102JFY) ; MME (78185-58-7) ; Anti-Infective Agents ; Endrin (OB9NVE7YCL)
    Language English
    Publishing date 2024-01-18
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1093977-5
    ISSN 1872-7913 ; 0924-8579
    ISSN (online) 1872-7913
    ISSN 0924-8579
    DOI 10.1016/j.ijantimicag.2024.107090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: In vitro antimicrobial susceptibility data of global meropenem-resistant Acinetobacter baumannii isolates causing pneumonia: Data from the Antimicrobial Testing Leadership and Surveillance Program, 2014-2021, and re-estimations of susceptibility breakpoints and appropriate dosages of important antibiotics for pneumonia treatment.

    Hsueh, Shun-Chung / Huang, Yu-Tsung / Ko, Wen-Chien / Liu, I-Min / Hsieh, Po-Chuen / Jean, Shio-Shin

    Journal of global antimicrobial resistance

    2024  Volume 36, Page(s) 411–418

    Abstract: Objectives: To evaluate the susceptibility of globally pneumonia-causing meropenem-resistant (MEM-R) Acinetobacter baumannii isolates against important antibiotics and estimate appropriate dosages of indicated antibiotics.: Methods: We extracted the ... ...

    Abstract Objectives: To evaluate the susceptibility of globally pneumonia-causing meropenem-resistant (MEM-R) Acinetobacter baumannii isolates against important antibiotics and estimate appropriate dosages of indicated antibiotics.
    Methods: We extracted the 2014-2021 Antimicrobial Testing of Leadership Surveillance database regarding the susceptibility of MEM-R A. baumannii isolates causing pneumonia against important antibiotics. The susceptibility and carbapenemase-encoding gene (CPEG) data of pneumonia-causing MEM-R A. baumannii isolates from patients hospitalized in intensive care units of five major regions were analyzed. The susceptibility breakpoints (SBP) recommended by the Clinical and Laboratory Standards Institute (CLSI) in 2022, other necessary criteria [SBP of MIC for colistin, 2 mg/L, in the CLSI 2018; and cefoperazone-sulbactam (CFP-SUL), 16 mg/L], and the pharmacokinetic and pharmacodynamic data of indicated antibiotics were employed.
    Results: Applying the aforementioned criteria, we observed the susceptible rates of colistin, minocycline, and CFP-SUL against the pneumonia-causing MEM-R A. baumannii isolates globally (n = 2905) were 93.2%, 69.1%, and 26.3%, respectively. Minocycline was significantly more active in vitro (MIC ≤4 mg/L) against the pneumonia-causing MEM-R A. baumannii isolates collected from North and South America compared to those from other regions (>90% vs. 58-72%). Additionally, bla
    Conclusions: After deliberative estimations, dosages of 200 mg minocycline intravenously every 12 h (SBP, 8 mg/L), 100 mg tigecycline intravenously every 12 h (SBP, 1 mg/L), and 160 mg nebulized colistin methanesulphonate every 8 h (SBP, 2 mg/L) are needed for the effective treatment of pneumonia-causing MEM-R A. baumannii isolates.
    MeSH term(s) Humans ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Meropenem/pharmacology ; Meropenem/therapeutic use ; Minocycline/pharmacology ; Acinetobacter baumannii ; Colistin/pharmacology ; Colistin/therapeutic use ; Leadership ; Drug Resistance, Multiple, Bacterial ; Acinetobacter Infections/drug therapy ; Anti-Infective Agents/pharmacology ; Pneumonia/drug therapy
    Chemical Substances Anti-Bacterial Agents ; Meropenem (FV9J3JU8B1) ; Minocycline (FYY3R43WGO) ; Colistin (Z67X93HJG1) ; Anti-Infective Agents
    Language English
    Publishing date 2024-02-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2710046-7
    ISSN 2213-7173 ; 2213-7173
    ISSN (online) 2213-7173
    ISSN 2213-7173
    DOI 10.1016/j.jgar.2024.01.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: In vitro susceptibilities of isolates of potentially naturally inducible chromosomal AmpC-producing metallo-β-lactamase-negative carbapenem-resistant Enterobacterales species to ceftazidime-avibactam: Data from the Antimicrobial Testing Leadership and Surveillance Programme, 2012-2019.

    Jean, Shio-Shin / Lee, Yu-Lin / Hsu, Chin-Wang / Hsueh, Po-Ren

    International journal of antimicrobial agents

    2022  Volume 60, Issue 3, Page(s) 106617

    Abstract: Objectives: A total of 74 570 potentially naturally inducible chromosomal AmpC-producing (PNIC-AmpC) Enterobacterales isolates included in the Antimicrobial Testing Leadership and Surveillance Programme were obtained worldwide during 2012-2019 (22 503 ... ...

    Abstract Objectives: A total of 74 570 potentially naturally inducible chromosomal AmpC-producing (PNIC-AmpC) Enterobacterales isolates included in the Antimicrobial Testing Leadership and Surveillance Programme were obtained worldwide during 2012-2019 (22 503 from 2012-2014 and 52 067 from 2015-2019). Of these isolates, 117 and 711 obtained during 2012-2014 and 2015-2019, respectively, were carbapenem-resistant Enterobacterales (PNIC-AmpC-CRE). The MICs of ceftazidime-avibactam for these isolates were determined using the broth microdilution method.
    Methods: Genes encoding different Ambler classes of β-lactamases were investigated using multiplex PCR. After 97 isolates harbouring genes encoding metallo-β-lactamases (MβL) were excluded, 731 PNIC-AmpC MβL-negative CRE isolates (101 from 2012-2014 and 630 from 2015-2019) were included in this study.
    Results: Enterobacter cloacae (E. cloacae) complex species, Escherichia coli (E. coli) and Citrobacter freundii (C. freundii) complex species accounted for 36.3% (n = 265), 30.4% (n = 222) and 11.8% (n = 86), respectively, followed by Providencia species (n = 72), Serratia species (n = 52) and Klebsiella aerogenes (n = 34). The resistance rates to ceftazidime-avibactam for the overall PNIC-AmpC MβL-negative CRE isolates markedly differed between the two periods (35.6% vs. 63.3%; P < 0.001). Similar trends were observed for the MβL-negative-CR-E. cloacae complex species (47.4% vs. 65.2%; P = 0.046) and MβL-negative-CR-E. coli (16.2% vs. 63.8%; P < 0.001) but not for MβL-negative-CR-C. freundii complex species (40% vs. 62%; P = 0.153). Amongst the PNIC-AmpC MβL-negative CRE isolates, resistance rates to ceftazidime-avibactam worsened.
    Conclusions: Caution should be taken when empirically prescribing ceftazidime-avibactam for infections caused by PNIC-AmpC-CRE before susceptibility data are available.
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Azabicyclo Compounds/pharmacology ; Carbapenems/pharmacology ; Ceftazidime/pharmacology ; Drug Combinations ; Escherichia coli ; Leadership ; Microbial Sensitivity Tests ; beta-Lactamases/genetics
    Chemical Substances Anti-Bacterial Agents ; Azabicyclo Compounds ; Carbapenems ; Drug Combinations ; avibactam, ceftazidime drug combination ; Ceftazidime (9M416Z9QNR) ; beta-Lactamases (EC 3.5.2.6)
    Language English
    Publishing date 2022-06-17
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1093977-5
    ISSN 1872-7913 ; 0924-8579
    ISSN (online) 1872-7913
    ISSN 0924-8579
    DOI 10.1016/j.ijantimicag.2022.106617
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Old and re-purposed drugs for the treatment of COVID-19

    Jean, Shio-Shin / Hsueh, Po-Ren

    Expert Review of Anti-infective Therapy

    2020  Volume 18, Issue 9, Page(s) 843–847

    Keywords Microbiology (medical) ; Microbiology ; Virology ; Infectious Diseases ; covid19
    Language English
    Publisher Informa UK Limited
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2181279-2
    ISSN 1744-8336 ; 1478-7210
    ISSN (online) 1744-8336
    ISSN 1478-7210
    DOI 10.1080/14787210.2020.1771181
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Antimicrobial susceptibilities of the ertapenem-non-susceptible non-carbapenemase-producing Enterobacterales isolates causing intra-abdominal infections in the Asia-Pacific region during 2008-2014: Results from the Study for Monitoring the Antimicrobial Resistance Trends (SMART).

    Jean, Shio-Shin / Hsueh, Po-Ren

    Journal of global antimicrobial resistance

    2019  Volume 21, Page(s) 91–98

    Abstract: Objectives: To investigate the susceptibility profiles amongst ertapenem-non-susceptible non-carbapenemase-producing Enterobacterales (ETP-NS-non-CPE) isolates.: Methods: Minimum inhibitory concentrations (MICs) of 404 ETP-NS-non-CPE isolates ... ...

    Abstract Objectives: To investigate the susceptibility profiles amongst ertapenem-non-susceptible non-carbapenemase-producing Enterobacterales (ETP-NS-non-CPE) isolates.
    Methods: Minimum inhibitory concentrations (MICs) of 404 ETP-NS-non-CPE isolates collected from different intra-abdominal infection (IAI) sites amongst patients in the Asia-Pacific region during 2008-2014 were determined using the broth microdilution method. The susceptibility results were interpreted according to the MIC breakpoints recommended by the Clinical and Laboratory Standards Institute (CLSI) in 2018. The MICs data of several agents were evaluated based on their published pharmacokinetic/pharmacodynamic (PK/PD) profiles.
    Results: The majority (>84%) of IAI-ETP-NS-non-CPE isolates - including Escherichia coli (n=83), Klebsiella pneumoniae (n=91) and Enterobacter species (n=210) - were susceptible to imipenem and amikacin. The 193 hepatobiliary ETP-NS-non-CPE isolates exhibited a trend of lower cefepime MIC (≤4mg/L) distribution than those (n=145) cultured from the peritoneal space (P=0.058). Amongst the ETP-NS-non-CP Enterobacter isolates, 65.7% displayed a cefepime MIC≤4mg/L. In addition, compared with Escherichia coli and Klebsiella pneumoniae isolates, 82.9% and 72.9% of the ETP-NS-non-CP Enterobacter isolates were susceptible to levofloxacin and ciprofloxacin, respectively. Of note, 74.5% and 70.3% of the ETP-NS-non-CP Enterobacter isolates cultured from the hepatobiliary tract and peritoneal space exhibited a ciprofloxacin MIC≤2mg/L and ≤0.25mg/L, respectively. Imipenem and amikacin showed good in vitro susceptibility rates against the IAI-ETP-NS-non-CPE isolates. The hepatobiliary ETP-NS-non-CPE displayed lower cefepime MICs than those cultured from the peritoneal space. Additionally, a significant fraction of IAI-ETP-NS-non-CP Enterobacter isolates exhibited ciprofloxacin MIC ≤ 2mg/L.
    Conclusion: Based upon the PK/PD analyses, ciprofloxacin, imipenem and cefepime are probably effective against IAI-ETP-NS-non-CPE isolates.
    MeSH term(s) Amikacin/pharmacokinetics ; Amikacin/pharmacology ; Asia ; Ciprofloxacin/pharmacokinetics ; Ciprofloxacin/pharmacology ; Drug Resistance, Bacterial ; Enterobacter/drug effects ; Enterobacter/isolation & purification ; Enterobacteriaceae/classification ; Enterobacteriaceae/drug effects ; Enterobacteriaceae/isolation & purification ; Enterobacteriaceae Infections/diagnosis ; Ertapenem/pharmacology ; Escherichia coli/drug effects ; Escherichia coli/isolation & purification ; Humans ; Imipenem/pharmacokinetics ; Imipenem/pharmacology ; Intraabdominal Infections/microbiology ; Klebsiella pneumoniae/drug effects ; Klebsiella pneumoniae/isolation & purification ; Microbial Sensitivity Tests ; Pacific Islands ; Population Surveillance
    Chemical Substances Ciprofloxacin (5E8K9I0O4U) ; Imipenem (71OTZ9ZE0A) ; Amikacin (84319SGC3C) ; Ertapenem (G32F6EID2H)
    Language English
    Publishing date 2019-10-15
    Publishing country Netherlands
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2710046-7
    ISSN 2213-7173 ; 2213-7165
    ISSN (online) 2213-7173
    ISSN 2213-7165
    DOI 10.1016/j.jgar.2019.10.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Multicenter surveillance of

    Jean, Shio-Shin / Ko, Wen-Chien / Lu, Min-Chi / Lee, Wen-Sen / Hsueh, Po-Ren

    Expert review of anti-infective therapy

    2022  Volume 20, Issue 6, Page(s) 941–953

    Abstract: Objectives: To determine the : Methods: Isolates of : Results: The MIC values of the cefepime-enmetazobactam combination against extended-spectrum β-lactamase-producing : Conclusions: The efficacy of novel antibiotics against important drug- ... ...

    Abstract Objectives: To determine the
    Methods: Isolates of
    Results: The MIC values of the cefepime-enmetazobactam combination against extended-spectrum β-lactamase-producing
    Conclusions: The efficacy of novel antibiotics against important drug-resistant GNB must be monitored and validated during the clinical treatment of patients.
    MeSH term(s) Acinetobacter baumannii/genetics ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Azabicyclo Compounds/pharmacology ; Carbapenems ; Cefepime/pharmacology ; Cephalosporins/pharmacology ; Cyclooctanes ; Escherichia coli ; Humans ; Microbial Sensitivity Tests ; Pseudomonas aeruginosa/genetics ; Sepsis/drug therapy ; Taiwan ; Tetracyclines ; Triazoles ; beta-Lactamases/genetics
    Chemical Substances Anti-Bacterial Agents ; Azabicyclo Compounds ; Carbapenems ; Cephalosporins ; Cyclooctanes ; Tetracyclines ; Triazoles ; WCK 5222 ; eravacycline (07896928ZC) ; omadacycline (090IP5RV8F) ; Cefepime (807PW4VQE3) ; enmetazobactam (80VUN7L00C) ; beta-Lactamases (EC 3.5.2.6)
    Language English
    Publishing date 2022-01-11
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2181279-2
    ISSN 1744-8336 ; 1478-7210
    ISSN (online) 1744-8336
    ISSN 1478-7210
    DOI 10.1080/14787210.2022.2021876
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  10. Article: In vitro susceptibilities of isolates of potentially naturally inducible chromosomal AmpC-producing metallo-β-lactamase-negative carbapenem-resistant Enterobacterales species to ceftazidime-avibactam: Data from the Antimicrobial Testing Leadership and Surveillance Programme, 2012–2019

    Jean, Shio-Shin / Lee, Yu-Lin / Hsu, Chin-Wang / Hsueh, Po-Ren

    International journal of antimicrobial agents. 2022 June 12,

    2022  

    Abstract: In total, 74,570 potentially naturally inducible chromosomal AmpC-producing (PNIC-AmpC) Enterobacterales isolates included in the Antimicrobial Testing Leadership and Surveillance Programme were obtained worldwide from 2012 to 2019 (22,503 from 2012 to ... ...

    Abstract In total, 74,570 potentially naturally inducible chromosomal AmpC-producing (PNIC-AmpC) Enterobacterales isolates included in the Antimicrobial Testing Leadership and Surveillance Programme were obtained worldwide from 2012 to 2019 (22,503 from 2012 to 2014 and 52,067 from 2015 to 2019). One hundred seventeen and 711 isolates obtained in 2012–2014 and 2015–2019, respectively, were carbapenem-resistant Enterobacterales (PNIC-AmpC-CRE). The minimum inhibitory concentrations of ceftazidime-avibactam for these isolates against were determined using the broth microdilution method. Genes encoding different Ambler classes of β-lactamases were investigated using multiplex PCR. After 97 isolates harboring genes encoding metallo-β-lactamases (MβL) were excluded, 731 PNIC-AmpC MβL-negative CRE isolates (101 from 2012 to 2014 and 630 from 2015 to 2019) were included in this study. Enterobacter cloacae complex species, Escherichia coli, and Citrobacter freundii complex species accounted for 36.3% (n = 265), 30.4% (n = 222), and 11.8% (n = 86), respectively, followed by Providencia species (n = 72), Serratia species (n = 52), and Klebsiella aerogenes (n = 34). The resistance rates to ceftazidime-avibactam for the overall PNIC-AmpC MβL-negative CRE isolates differed markedly between the two periods (35.6% vs. 63.3%, P < 0.001). Similar trends were observed for the MβL-negative-CR-E. cloacae complex species (47.4% vs. 65.2%; P = 0.046) and MβL-negative-CR-E. coli (16.2% vs. 63.8%; P < 0.001) but not for MβL-negative-CR-C. freundii complex species (40% vs. 62%; P = 0.153). Amongst the PNIC-AmpC MβL-negative CRE isolates, resistance rates to ceftazidime-avibactam worsened. Caution should be taken when empirically prescribing ceftazidime-avibactam for infections caused by PNIC-AmpC-CRE before susceptibility data are available.
    Keywords Citrobacter freundii ; Enterobacter cloacae ; Escherichia coli ; Klebsiella aerogenes ; Providencia ; Serratia ; leadership ; minimum inhibitory concentration ; monitoring ; polymerase chain reaction
    Language English
    Dates of publication 2022-0612
    Publishing place Elsevier Ltd
    Document type Article
    Note Pre-press version
    ZDB-ID 1093977-5
    ISSN 1872-7913 ; 0924-8579
    ISSN (online) 1872-7913
    ISSN 0924-8579
    DOI 10.1016/j.ijantimicag.2022.106617
    Database NAL-Catalogue (AGRICOLA)

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