ArticleInfection and drug resistance2026
Ceftolozane/Tazobactam Susceptibility in ESBL-Producing Enterobacterales: Insights from the SMART Program 2020-2022 in China.
Article in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: Surveillance data on ceftolozane/tazobactam (C/T) activity against extended-spectrum β-lactamase-producing Enterobacterales (ESBL-E) in China remains limited. This study summarized species- and source-specific C/T susceptibility patterns using isolates collected through the Study for Monitoring Antimicrobial Resistance Trends (SMART) China program (2020-2022). Methods: Non-duplicate Enterobacterales isolates from bloodstream, intra-abdominal, respiratory, and urinary tract infections (BSI, IAI, RTI, UTI) were collected in 18 tertiary hospitals. Minimum inhibitory concentrations (MICs) were determined by broth microdilution and interpreted using CLSI M100 2025. ESBL-E were defined as ceftriaxone-nonsusceptible (i.e, intermediate or resistant) and carbapenem-susceptible Enterobacterales (CSE), with species-specific adjustments for Results: All Enterobacterales isolates meeting inclusion criteria were analyzed; isolation rate is reported by species for the seven most prevalent, which together comprised 93.5% of isolates; the remaining genera contributed to the aggregate totals. Overall susceptibility of Enterobacterales to C/T was high. Among CSE, susceptibility was 92.2%, with 83.1% in ESBL‑E. By infection site, C/T susceptibility among ESBL‑E was 88.3% in UTI, 85.3% in BSI, 79.9% in RTI, and 77.4% in IAI. Susceptibility was highest in ESBL- Conclusion: C/T susceptibility among ESBL-E was high in
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