Publications by authors named "Mark Wise"

Objectives: To assess the antimicrobial activity of ceftolozane/tazobactam, imipenem/relebactam and comparator agents against clinical isolates of Gram-negative bacilli collected in Israel from 2018 to 2022.

Methods: Six clinical laboratories each collected up to 250 consecutive Gram-negative isolates per year from patients with bloodstream, intra-abdominal, lower respiratory tract and urinary tract infections. MICs were determined by CLSI broth microdilution and interpreted with 2024 EUCAST breakpoints.

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Objectives: Taniborbactam is a boronate-based β-lactamase inhibitor in clinical development in combination with cefepime.

Methods: Cefepime-taniborbactam and comparator broth microdilution MICs were determined for patient isolates of Enterobacterales (n = 20 725) and Pseudomonas aeruginosa (n = 7919) collected in 59 countries from 2018 to 2022. Taniborbactam was tested at a fixed concentration of 4 mg/L.

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Article Synopsis
  • The study tracked trends in carbapenem resistance and difficult-to-treat resistance (DTR) in Gram-negative bacteria from 2018 to 2022 across various global regions, including Asia Pacific, Europe, Latin America, Middle East-Africa, and North America.
  • Findings showed an increase in carbapenem-resistant Enterobacterales (CRE) in most regions except North America, and DTR percentages rose universally.
  • The results emphasized the importance of ongoing surveillance for developing effective treatment strategies and managing antibiotic use, as different regions experienced varied rates of resistance linked primarily to hospital-acquired infections.
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Unlabelled: Oxacillinases (OXA)-48-like β-lactamases are one of the most common resistance determinants among carbapenem-resistant Enterobacterales reported globally. Moreover, there is no standard treatment available against organisms producing OXA-48-like enzymes, and they are sometimes difficult to detect, making treatment challenging. The objective of this study was to evaluate the distribution and antimicrobial susceptibility of Enterobacterales isolates against ceftazidime-avibactam (CAZ-AVI) and a panel of comparators collected worldwide from 2016 to 2020 as a part of the Antimicrobial Testing Leadership and Surveillance program.

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Objectives: To evaluate the susceptibility of recent Gram-negative pathogens collected in South Korean medical centres to imipenem/relebactam and comparator agents.

Methods: From 2018 to 2021, six hospitals in South Korea each collected up to 250 consecutive, aerobic or facultative Gram-negative pathogens per year from patients with bloodstream, intra-abdominal, lower respiratory tract and urinary tract infections. MICs were determined using CLSI broth microdilution and interpreted by 2023 CLSI breakpoints.

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Background: Imipenem/relebactam (IMR) was approved for patient use in Taiwan in 2023. We evaluated the in vitro susceptibility of recent Gram-negative pathogens collected in Taiwan hospitals to IMR and comparators with a focus on carbapenem-resistant and KPC-carrying non-Morganellaceae Enterobacterales (NME), and carbapenem-resistant Pseudomonas aeruginosa (CRPA).

Methods: From 2018 to 2021, eight hospitals in Taiwan each collected up to 250 consecutive, aerobic or facultative, Gram-negative pathogens per year from patients with bloodstream, intraabdominal, lower respiratory tract, and urinary tract infections.

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Article Synopsis
  • - The study analyzed the susceptibility of 3,905 Enterobacterales and 1,109 Pseudomonas aeruginosa isolates from sub-Saharan Africa collected between 2017-2021 to 10 antimicrobial agents, focusing on the effectiveness of ceftazidime-avibactam against resistant bacteria and those carrying β-lactamase.
  • - Results showed that 96.2% of Enterobacterales isolates were susceptible to ceftazidime-avibactam, with varying susceptibility across different species and high resistance associated with metallo-β-lactamase genes.
  • - Among Pseudomonas aeruginosa, 88.9% of the isolates were also susceptible to ceft
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This study aimed to report reference method antimicrobial susceptibility results for 24,937 recent (2019-2021) clinical isolates of Enterobacterales from 27 countries in Latin America, Eurasia, Africa/Middle East, and Asia with a focus on the investigational combination aztreonam-avibactam against metallo-β-lactamase (MBL) isolates. Antimicrobial susceptibility testing was performed by the CLSI broth microdilution methodology. Minimum inhibitory concentrations (MICs) were interpreted using the CLSI (2022) breakpoints for all agents except aztreonam-avibactam (provisional pharmacokinetic/pharmacodynamic susceptible breakpoint, ≤ 8 mg/L) and tigecycline (US-FDA).

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Objectives: To determine the in vitro activities of ceftolozane/tazobactam (C/T) and comparators against Pseudomonas aeruginosa isolates cultured from hospitalised patient samples in Taiwan from 2012 to 2021 with an additional focus on the temporal and geographical prevalence of carbapenem-resistant P. aeruginosa (CRPA).

Methods: P.

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Objectives: To evaluate the in vitro antibacterial activity of cefiderocol, a siderophore cephalosporin against MBL-producing clinical isolates.

Methods: MBL-producing strains were selected from clinical isolates of Enterobacterales, Pseudomonas aeruginosa and Acinetobacter baumannii complex collected in North America and Europe in five consecutive annual multinational SIDERO-WT surveillance studies from 2014 to 2019. MICs of cefiderocol and comparator agents were determined by the broth microdilution method according to the CLSI guideline.

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We examined the susceptibility of meropenem-nonsusceptible Enterobacterales, , and complex isolates from five consecutive annual SIDERO-WT surveillance studies (2014-2019) to cefiderocol and comparator agents in the context of their carbapenemase carriage. 1,003 Enterobacterales, 1,758 , and 2,809 complex isolates from North America and Europe that were meropenem nonsusceptible (CLSI M100, 2022) were molecularly characterized for β-lactamase content by PCR followed by Sanger sequencing or by whole genome sequencing. Among Enterobacterales, 91.

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Objectives: To assess the global and regional distribution of ESBLs in Enterobacterales and carbapenemases in Enterobacterales and Pseudomonas aeruginosa.

Methods: Antimicrobial susceptibility of isolates collected from ATLAS (2017-2019) was determined per CLSI guidelines. Enterobacterales exhibiting meropenem MICs ≥2 mg/L and/or ceftazidime/avibactam and/or aztreonam/avibactam MICs ≥16 mg/L, Escherichia coli and Klebsiella pneumoniae with aztreonam and/or ceftazidime MICs ≥2 mg/L, and P.

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Introduction: The incidence of antimicrobial resistance is increasing in many parts of the world. The focus of this report is to examine changes in antimicrobial resistance epidemiology among clinical isolates of Enterobacterales and Pseudomonas aeruginosa collected in six Latin American countries as part of the Antimicrobial Testing Leadership and Surveillance (ATLAS) program from 2015 to 2020, with a focus on the in vitro activity of ceftazidime-avibactam against Multidrug-Resistant (MDR) isolates.

Methods: Non-duplicate, clinical isolates of Enterobacterales (n = 15,215) and P.

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Article Synopsis
  • Taniborbactam is a new β-lactamase inhibitor currently being tested in combination with cefepime to combat various drug-resistant bacterial infections, particularly from Pseudomonas aeruginosa.
  • In clinical assessments involving thousands of bacterial isolates, the cefepime-taniborbactam combination significantly reduced the minimum inhibitory concentration (MIC) levels, demonstrating its effectiveness against multiple drug-resistant strains.
  • Overall, cefepime-taniborbactam showed strong inhibitory activity, especially against strains resistant to other treatments, indicating its potential as a powerful option in tackling antibiotic resistance.
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Article Synopsis
  • - Ceftibuten-ledaborbactam etzadroxil is a novel oral medication being developed to treat complicated urinary tract infections caused by multidrug-resistant bacteria that produce certain β-lactamases, specifically in Ambler classes A, C, and D.
  • - The medication works by converting the prodrug into an active form that inhibits β-lactamase enzymes, allowing it to effectively fight off resistant bacteria, including ESBL-positive and other non-susceptible strains.
  • - In tests, ceftibuten-ledaborbactam showed strong efficacy, inhibiting a high percentage of various resistant clinical isolates, including 89.7% of MDR strains and over 91% of specific ES
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The Acuitas antimicrobial resistance (AMR) gene panel is a qualitative, multiplex, nucleic acid-based diagnostic test for the detection and differentiation of 28 antimicrobial resistance markers associated with not susceptible results (NS; i.e., intermediate or resistant) to one or more antimicrobial agents among cultured isolates of select , Pseudomonas aeruginosa, and Enterococcus faecalis.

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Objectives: While aztreonam-avibactam is a potent β-lactam-β-lactamase-inhibitor combination, reduced in vitro activity against some Enterobacterales isolates has been reported. In this study, globally collected clinical isolates of Enterobacterales with elevated minimum inhibitory concentrations (MICs) for aztreonam-avibactam were examined for potential resistance mechanisms.

Methods: Isolates with aztreonam-avibactam MICs ≥8 μg/mL (n = 55: Escherichia coli, n = 38; Enterobacter cloacae, n = 10; Klebsiella pneumoniae, n = 3; others, n = 4) and <8 μg/mL (n = 18) collected for the INFORM global surveillance programme were characterized by short read whole-genome sequencing.

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Carbapenem-resistant Gram-negative bacilli are a major public health problem. Accurate and rapid detection of carbapenemase-producing organisms can facilitate appropriate infection prevention measures. The objective was to evaluate the performance of the RAPIDEC® CARBA NP assay (RAPIDEC), a screening assay that utilizes a pH indicator to detect carbapenem hydrolysis within 2 h.

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A 4-yr study was conducted on native rangeland to assess the growth and reproductive performance of cows (Bos taurus) infested with naturally occurring seasonal populations of horn flies (Haematobia irritans). One hundred five Angus × Hereford cow-calf pairs were evaluated as a randomized complete block that was replicated across 4 yr. Cows were approximately 39 d postpartum at the beginning of each yearly trial and were randomly allocated to either an untreated control (UTC) or an insecticide-treated (TRT) herd.

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Cefiderocol is a siderophore cephalosporin in development for treatment of infections caused by Gram-negative bacilli, including carbapenem-resistant and multidrug-resistant isolates. β-Lactamase carriage and in vitro activity of cefiderocol were determined against 1272 meropenem-non-susceptible isolates of Enterobacteriaceae, Pseudomonas aeruginosa and Acinetobacter baumannii collected as part of the SIDERO-WT-2014 surveillance study. Minimum inhibitory concentration (MIC) values for cefiderocol were ≤4 µg/mL against 97.

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A set of 908 clinically derived colistin-resistant Enterobacteriaeae isolates collected worldwide in 2014-2016 were screened for the presence of the plasmid-borne mcr-1, mcr-2, mcr-3, mcr-4 and mcr-5 genes. In total 3.2% (29/908) of the collection were positive for mcr, including 27 Escherichia coli, 1 Klebsiella pneumoniae and 1 Enterobacter cloacae.

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Purpose: To understand the diversity of porin disruption in Klebsiella pneumoniae, the major outer membrane protein (OMP) porins, OmpK35 and OmpK36, were examined in a set of isolates that did not harbour traditional carbapenem-hydrolysing enzymes, but nevertheless tested non-susceptible to ertapenem.

Methods: A world-wide collection of Klebsiella pneumoniae isolates that were part of the Study for Monitoring Antimicrobial Resistance Trends (SMART) surveillance project over the years 2008-2014 were characterised with regard to their β-lactamase gene carriage and potential permeability defects. Four hundred and eighty-seven isolates that did not carry carbapenemase genes, but were non-susceptible to ertapenem, were investigated by sequence analysis of the genes encoding OmpK35 and OmpK36.

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Article Synopsis
  • The use of carbapenems to treat multidrug-resistant Gram-negative infections has led to an increase in carbapenem-resistant Enterobacteriaceae (CRE), making it necessary to rely on older antibiotics like colistin.
  • A global study of nearly 20,000 Enterobacteriaceae isolates showed that while colistin susceptibility was high (98.4%), it dropped significantly to 88% among carbapenemase-positive isolates.
  • The resistance was particularly noted in Klebsiella pneumoniae and included concerning trends of resistance distributed across multiple countries and species, highlighting the urgency of addressing this public health issue.
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The behavioral responses of cattle under the influence of naturally occurring seasonal horn fly, Haematobia irritans (L.), populations were evaluated under rangeland conditions. This study was replicated four times using 10 cows as the subsampling unit equipped with GPS collars scheduled to receive locational fixes every 5 min for 6 d prior to, and 6 d following horn fly insecticidal control application.

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