Are the newer carbapenems of any value against tuberculosis
File(s)
Author(s)
Gonzalo, Ximena
Drobniewski, Francis
Type
Journal Article
Abstract
Our aim was to assess whether newer carbapenems with a better administration profile than meropenem (ertapenem, faropenem and tebipenem) were more effective against Mycobacterium tuberculosis including M/XDRTB and determine if there was a synergistic/antagonistic effect with amoxicillin or clavulanate (inhibitor of beta-lactamases that MTB possesses) in vitro. Whilst meropenem is given three times a day intravenously, ertapenem, though given parenterally, is given once a day, faropenem and tebipenem are given orally. Eighty-two clinical drug-sensitive and -resistant MTB strains and a laboratory strain, H37Rv, were assessed by a microdilution methodology against ertapenem, faropenem, tebipenem and meropenem with and without amoxicillin or clavulanic acid. Ertapenem showed a limited activity. The addition of amoxicillin and clavulanate did not translate into significant improvements in susceptibility. Sixty-two isolates (75.6%) exhibited susceptibility to faropenem; the addition of amoxicillin and clavulanate further reduced the MIC in some isolates. Faropenem showed a limited activity (MIC of 8 mg/L or lower) in 21 strains completely resistant to meropenem (MIC of 16 mg/L or higher). Fifteen of the meropenem-resistant strains were susceptible to tebipenem. Carbapenems’ activity has been reported extensively. However, there remains uncertainty as to which of them is most active against TB and what the testing methodology should be.
Date Issued
2022-08-07
Date Acceptance
2022-08-05
Citation
Antibiotics, 2022, 11 (8), pp.1-10
ISSN
2079-6382
Publisher
MDPI AG
Start Page
1
End Page
10
Journal / Book Title
Antibiotics
Volume
11
Issue
8
Copyright Statement
© 2022 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
License URL
Sponsor
Imperial College Trust
Research England
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000846390600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
WMNF_P71650
Subjects
Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Pharmacology & Pharmacy
carbapenems
microdilution
antibiotic resistance
meropenem
faropenem
tebopenem
ertapenem
MYCOBACTERIUM-TUBERCULOSIS
RESISTANT TUBERCULOSIS
BETA-LACTAMASE
IN-VITRO
L,D-TRANSPEPTIDASE LDT(MT1)
MEROPENEM
CLAVULANATE
ERTAPENEM
IMIPENEM
DRUGS
Publication Status
Published
Article Number
ARTN 1070
Date Publish Online
2022-08-07