Activity of ceftolozane/tazobactam and imipenem/relebactam against clinical gram-negative isolates from Czech Republic, Hungary, and Poland-SMART 2017-2020

Eur J Clin Microbiol Infect Dis. 2023 Mar;42(3):365-370. doi: 10.1007/s10096-023-04549-1. Epub 2023 Jan 21.

Abstract

Antimicrobial susceptibility was determined for clinical gram-negative isolates from Czech Republic, Hungary, and Poland, where published data for ceftolozane/tazobactam (C/T) and imipenem/relebactam (IMI/REL) is scarce. C/T was active against 94.3% of Enterobacterales, 10-18% higher than the tested cephalosporins and piperacillin/tazobactam. IMI/REL was the most active tested agent against non-Morganellaceae Enterobacterales (99.7% susceptible). C/T was the most active among all studied agents except colistin against Pseudomonas aeruginosa (96.0% susceptible); susceptibility to IMI/REL was 90.7%. C/T maintained activity against 73.7-85.3% of β-lactam-resistant or multidrug-resistant P. aeruginosa subsets. C/T and IMI/REL could represent important treatment options for patients from these countries.

Keywords: Ceftolozane/tazobactam; Czech Republic; Hungary; Imipenem/relebactam; Poland; SMART.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Cephalosporins / therapeutic use
  • Czech Republic
  • Humans
  • Hungary
  • Imipenem / pharmacology
  • Imipenem / therapeutic use
  • Microbial Sensitivity Tests
  • Poland
  • Pseudomonas Infections* / drug therapy
  • Pseudomonas Infections* / microbiology
  • Pseudomonas aeruginosa
  • Tazobactam / pharmacology
  • Tazobactam / therapeutic use

Substances

  • ceftolozane
  • relebactam
  • Anti-Bacterial Agents
  • Cephalosporins
  • ceftolozane, tazobactam drug combination
  • Tazobactam
  • Imipenem