In Vitro Susceptibility of Achromobacter Species Isolated from Cystic Fibrosis Patients: a 6-Year Survey

Antimicrob Agents Chemother. 2023 Jul 18;67(7):e0037923. doi: 10.1128/aac.00379-23. Epub 2023 Jun 13.

Abstract

We conducted in vitro antimicrobial susceptibility testing of 267 Achromobacter isolates for 16 antibiotics from 2017 to 2022. The highest susceptibility was found for piperacillin-tazobactam (70%) and ceftazidime-avibactam (62%). Between 30% and 49% of strains were susceptible to tigecycline, ceftazidime, and meropenem. We applied species-specific Achromobacter xylosoxidans breakpoints for piperacillin-tazobactam, meropenem, and trimethoprim-sulfamethoxazole and EUCAST pharmacokinetic/pharmacodynamic (PK/PD) breakpoints for the others. A. xylosoxidans was the most frequently isolated species, followed by Achromobacter insuavis and Achromobacter ruhlandii.

Keywords: Achromobacter; antibiotic resistance; cystic fibrosis; in vitro susceptibility.

MeSH terms

  • Achromobacter* / genetics
  • Anti-Bacterial Agents / pharmacology
  • Cystic Fibrosis*
  • Humans
  • Meropenem
  • Microbial Sensitivity Tests
  • Piperacillin / pharmacology
  • Tazobactam / pharmacology

Substances

  • Meropenem
  • Anti-Bacterial Agents
  • Piperacillin
  • Tazobactam