Document detail
ID

doi:10.1186/s12866-023-03068-5...

Author
Huang, Zeyu Han, Yijia Zhang, Xiaotuan Sun, Yao Lin, Yuzhan Feng, Luozhu Zhou, Tieli Wang, Zhongyong
Langue
en
Editor

BioMed Central

Category

Mycology

Year

2023

listing date

11/8/2023

Keywords
... ceftazidime-avibactam antimicrobial resistance acetylcysteine combination
Metrics

Abstract

Background Ceftazidime-avibactam (CZA) improves treatment outcomes for infections caused by carbapenem-resistant organisms, but has led to serious bacterial resistance.

Acetylcysteine (NAC) is an approved medication that protects the respiratory tract through antioxidant and anti-inflammatory effects.

Results This study found that NAC combined with CZA effectively inhibits the growth of CZA-resistant clinical Enterobacterales strains.

The CZA/NAC combination inhibits biofilm formation in vitro and decreases bacterial burden in a mouse thigh infection model.

The combination is biocompatible and primarily increases cell membrane permeability to cause bacterial death.

Conclusions These findings prove that the CZA/NAC combination has potential as a treatment for CZA-resistant Enterobacterales infections.

Huang, Zeyu,Han, Yijia,Zhang, Xiaotuan,Sun, Yao,Lin, Yuzhan,Feng, Luozhu,Zhou, Tieli,Wang, Zhongyong, 2023, Acetylcysteine increases sensitivity of ceftazidime-avibactam–resistant enterobacterales with different enzymatic resistance to ceftazidime-avibactam in vitro and in vivo, BioMed Central

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