In vitro activity of sulbactam-durlobactam against colistin-resistant and/or cefiderocol-non-susceptible, carbapenem-resistant Acinetobacter baumannii collected in U.S. hospitals

Alina Iovleva, Christi L. McElheny, Erin L. Fowler, Eric Cober, Erica S. Herc, Cesar A. Arias, Carol Hill, Keri Baum, Vance G. Fowler, Henry F. Chambers, Kerryl E. Greenwood-Quaintance, Robin Patel, David van Duin, Robert A. Bonomo, Yohei Doi

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The activity of a novel β-lactamase inhibitor combination, sulbactam-durlobactam (SUL-DUR), was tested against 87 colistin-resistant and/or cefiderocol-non-susceptible carbapenem-resistant Acinetobacter baumannii clinical isolates collected from U.S. hospitals between 2017 and 2019. Among them, 89% and 97% were susceptible to SUL-DUR and imipenem plus SUL-DUR, with MIC50/MIC90 values of 2 µg/mL/8 µg/mL and 1 µg/mL/4 µg/mL, respectively. The presence of amino acid substitutions in penicillin-binding protein 3, including previously reported A515V or T526S, was associated with SUL-DUR non-susceptibility.

Original languageEnglish (US)
JournalAntimicrobial Agents and Chemotherapy
Volume68
Issue number3
DOIs
StatePublished - Mar 2024

Keywords

  • antimicrobial resistance
  • diazabicyclooctane
  • surveillance

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)
  • Infectious Diseases

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