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Evaluation of in vitro activity of ceftaroline against pathogens associated with community-acquired pneumonia: ATLAS
Eric Utt1, Michal Kantecki2, Guillermo Cabezas-Camarero3
1Pfizer, Inc., Groton, Connecticut.
Objectives:
Ceftaroline is an important therapeutic option for community-acquired pneumonia (CAP). Antimicrobial susceptibility to ceftaroline and other antimicrobial agents against Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae isolates collected worldwide from identified respiratory tract sources is reported by age groups (0-18, 19-65, and >65 years).
Methods:
Antimicrobial susceptibility of isolates, collected as part of the ATLAS program (2017-2019), was performed per EUCAST/CLSI guidelines.
Results:
S. aureus (N = 7103; methicillin-susceptible S. aureus [MSSA] = 4203; methicillin-resistant S. aureus [MRSA] = 2791), S. pneumoniae (N = 4823; EUCAST/CLSI, penicillin-intermediate S. pneumoniae [PISP] = 1408/870; penicillin-resistant S. pneumoniae [PRSP] = 455/993), and H. influenzae (N = 3850; β-lactamase [βL]-negative = 3097; βL-positive = 753) isolates were collected from respiratory tract specimens. Susceptibility to ceftaroline was 89.08%-97.83% for S. aureus, 99.95%-100% for MSSA, and 78.07%-92.74% for MRSA isolates across age groups; S. aureus as well as MRSA isolates derived from the 0-18 years age group demonstrated the highest susceptibility rates to ceftaroline. Susceptibility to ceftaroline was 98.25%-99.77% for S. pneumoniae, 99.74%-100% for PISP, and 86.23%-99.04% for PRSP isolates across age groups. Across all age groups, susceptibility to ceftaroline was 89.53%-99.70% for H. influenzae, 93.02%-100% for βL-negative, and 77.78%-98.35% for βL-positive isolates.
Conclusion:
Irrespective of age, susceptibility to ceftaroline was high among the majority of S. aureus, S. pneumoniae, and H. influenzae isolates collected in this study.
Insights
Ceftaroline demonstrates high antimicrobial susceptibility against common respiratory pathogens like Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae. This finding supports its role in treating community-acquired pneumonia across all age groups.
Area of Science:
- Infectious Diseases
- Microbiology
- Pharmacology
Background:
- Community-acquired pneumonia (CAP) requires effective antimicrobial therapies.
- Ceftaroline is a key therapeutic option for CAP.
- Understanding pathogen susceptibility is crucial for treatment guidelines.
Purpose of the Study:
- To evaluate ceftaroline antimicrobial susceptibility.
- To analyze susceptibility against Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae.
- To report findings across different age groups (0-18, 19-65, >65 years).
Main Methods:
- Utilized isolates from the ATLAS program (2017-2019).
- Performed antimicrobial susceptibility testing per EUCAST/CLSI guidelines.
- Collected respiratory tract isolates from global sources.
Main Results:
- High ceftaroline susceptibility observed for S. aureus (89.08%-97.83%), S. pneumoniae (98.25%-99.77%), and H. influenzae (89.53%-99.70%).
- Isolates from younger age groups (0-18 years) showed the highest susceptibility rates.
- Methicillin-susceptible S. aureus (MSSA) and penicillin-intermediate S. pneumoniae (PISP) exhibited near-100% susceptibility.
Conclusions:
- Ceftaroline exhibits high susceptibility against major respiratory pathogens.
- Age did not significantly diminish ceftaroline's effectiveness.
- Results support ceftaroline's continued use in CAP treatment.
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