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Clinical correlation of the CLSI susceptibility breakpoint for piperacillin- tazobactam against extended-spectrum-beta-lactamase-producing Escherichia coli and Klebsiella species
Authors:Gavin Patrick J  Suseno Mira T  Thomson Richard B  Gaydos J Michael  Pierson Carl L  Halstead Diane C  Aslanzadeh Jaber  Brecher Stephen  Rotstein Coleman  Brossette Stephen E  Peterson Lance R
Affiliation:Evanston Northwestern Healthcare, IL 60201, USA. pgavin@enh.org
Abstract:We assessed infections caused by extended-spectrum-beta-lactamase-producing Escherichia coli or Klebsiella spp. treated with piperacillin-tazobactam to determine if the susceptibility breakpoint predicts outcome. Treatment was successful in 10 of 11 nonurinary infections from susceptible strains and in 2 of 6 infections with MICs of >16/4 mug/ml. All six urinary infections responded to treatment regardless of susceptibility.
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