Meropenem MICs at Standard and High Inocula and Mutant Prevention Concentration Inter-Relations: Comparative Study with Non-Carbapenemase-Producing and OXA-48-, KPC- and NDM-Producing <i>Klebsiella pneumoniae</i>

The minimal inhibitory concentration (MIC) is conventionally used to define in vitro levels of susceptibility or resistance of a specific bacterial strain to an antibiotic and to predict its clinical efficacy. Along with MIC, other measures of bacteria resistance exist: the MIC determined at high ba...

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Bibliographic Details
Main Authors: Maria V. Golikova, Elena N. Strukova, Kamilla N. Alieva, Vladimir A. Ageevets, Alisa A. Avdeeva, Ofeliia S. Sulian, Stephen H. Zinner
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/12/5/872
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Summary:The minimal inhibitory concentration (MIC) is conventionally used to define in vitro levels of susceptibility or resistance of a specific bacterial strain to an antibiotic and to predict its clinical efficacy. Along with MIC, other measures of bacteria resistance exist: the MIC determined at high bacterial inocula (MIC<sub>HI</sub>) that allow the estimation of the occurrence of inoculum effect (IE) and the mutant prevention concentration, MPC. Together, MIC, MIC<sub>HI</sub> and MPC represent the bacterial “resistance profile”. In this paper, we provide a comprehensive analysis of such profiles of <i>K. pneumoniae</i> strains that differ by meropenem susceptibility, ability to produce carbapenemases and specific carbapenemase types. In addition, we have analyzed inter-relations between the MIC, MIC<sub>HI</sub> and MPC for each tested <i>K. pneumoniae</i> strain. Low IE probability was detected with carbapenemase-non-producing <i>K. pneumoniae,</i> and high IE probability was detected with those that were carbapenemase-producing. MICs did not correlate with the MPCs; significant correlation was observed between the MIC<sub>HI</sub>s and the MPCs, indicating that these bacteria/antibiotic characteristics display similar resistance properties of a given bacterial strain. To determine the possible resistance-related risk due to a given <i>K. pneumoniae</i> strain, we propose determining the MIC<sub>HI</sub>. This can more or less predict the MPC value of the particular strain.
ISSN:2079-6382