In vitro activity of tigecycline and comparators against carbapenem-susceptible and resistant Acinetobacter baumannii clinical isolates in Italy
2008

Effectiveness of Tigecycline Against Acinetobacter baumannii Infections in Italy

Sample size: 107 publication Evidence: moderate

Author Information

Author(s): Mezzatesta Maria Lina, Trovato Giusi, Gona Floriana, Nicolosi Vito Mar, Nicolosi Daria, Carattoli Alessandra, Fadda Giovanni, Nicoletti Giuseppe, Stefani Stefania

Primary Institution: Department of Microbiological and Gynaecological Sciences, University of Catania, Italy

Hypothesis

This study aimed to determine the in vitro activity of tigecycline and comparators against carbapenem-resistant and susceptible Acinetobacter baumannii strains in Italy.

Conclusion

Tigecycline showed good activity against multidrug-resistant Acinetobacter baumannii strains, maintaining a consistent MIC90 of 2 mg/L against both carbapenem-susceptible and resistant strains.

Supporting Evidence

  • Over 90% of A. baumannii strains were resistant to ceftazidime, ciprofloxacin, and aztreonam.
  • Tigecycline had a MIC90 of 2 mg/L against the tested strains.
  • Colistin was effective against 99% of the strains, with only one resistant isolate.
  • The study identified multiple resistance mechanisms, including the presence of OXA-type enzymes.

Takeaway

Tigecycline is a strong medicine that works well against a tough germ called Acinetobacter baumannii, which can make people very sick.

Methodology

The study used broth microdilution methods to test antibiotic susceptibility and PCR assays to identify resistance genes.

Limitations

The study was limited to strains collected from specific hospitals in Italy, which may not represent all geographical regions.

Participant Demographics

Strains were collected from 9 hospitals in Italy, primarily from patients with severe infections.

Digital Object Identifier (DOI)

10.1186/1476-0711-7-4

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