At first, the susceptibility pattern of
P. aeruginosa isolates to
ceftazidime-avibactam (30µg/20µg) and
ceftolozane-tazobactam (30µg/10µg) (MAST Co. UK) was assayed using disk diffusion method (Kirby-Bauer). Then, the susceptibility patterns of the
ceftazidime-avibactam and
ceftolozane-tazobactam resistant isolates to the other antibiotics, including
imipenem (10μg),
ertapenem (10μg),
cefotaxime (30μg),
cefoxitin (30µg),
ceftazidime (30µg),
cefepime (30µg),
amikacin (30μg),
gentamicin (10μg),
ciprofloxacin (5μg),
nitrofurantoin (300µg),
levofloxacin (10μg),
aztreonam (10μg), and fosfomycin (200µg) (MAST Co, UK), were evaluated.10 (
link) For performing disk diffusion method, isolates were cultured on
Muller-Hinton agar plates (Merck, Germany) and the other procedures were performed according to the CLSI recommendations.11
P. aeruginosa ATCC 27853 was used as a control strain.
After disk diffusion, Minimum Inhibitory Concentration (MIC) of the resistant isolates to both CZA and C/T in disk diffusion was measured. MIC was assessed using the microdilution broth method, according to the recommendations of CLSI.11 Then, MIC of selected antibiotics including
imipenem,
ceftazidime,
amikacin,
aztreonam, and
ciprofloxacin was evaluated against the resistant isolates to both CZA and C/T. In this assay,
E. coli ATCC 25922 and
P. aeruginosa ATCC 27853 were used as control strains.
Rahimzadeh M., Habibi M., Bouzari S, & Asadi Karam M.R. (2020). First Study of Antimicrobial Activity of Ceftazidime-Avibactam and Ceftolozane-Tazobactam Against Pseudomonas aeruginosa Isolated from Patients with Urinary Tract Infection in Tehran, Iran. Infection and Drug Resistance, 13, 533-541.