A Clinical Case of Treatment-Emergent Acinetobacter baumannii Non-Susceptibility to Sulbactam-Durlobactam

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ID: 321045
2026
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Ranked #323 of 530 articles by views in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

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Abstract
We report an eightfold increase in sulbactam-durlobactam MICs in a carbapenem-resistant Acinetobacter baumannii cerebrospinal fluid isolate recovered after 14 days of sulbactam-durlobactam plus meropenem therapy. Treatment-emergent mutations in the AdeFGH efflux system were identified, accompanied by a 166-fold increase in adeG expression. Efflux pump inhibition restored sulbactam-durlobactam susceptibility.
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Authors Sima L Sharara, Lorena Diaz, Tomefa E Asempa, Jose R W Martinez, Nicolas Canales, Yehudit Bergman, Shannon G Murphy, Sara M Karaba, Andrew E Clark, Daniel V Zurawski, Sara E Cosgrove, Patricia J Simner, Jose M Munita, Pranita D Tamma
Journal Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Year 2026
DOI
10.1093/cid/ciag436
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