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1 ent factors influencing the concentration of colistin.
2 CR-3.5 have not altered its activity against colistin.
3 l drugs such as tobramycin, tigecycline, and colistin.
4 methyl ether (aaPEG) onto the Thr residue of colistin.
5 me that confers resistance to the antibiotic colistin.
6 dence interval [CI], .63-1.83) for high-dose colistin.
7 esistant gram-negative bacteria treated with colistin.
8 highly resistant to the last-line antibiotic colistin.
9 ere significantly more common with high-dose colistin.
10 s aeruginosa, including strains resistant to colistin.
11 production of MCR-1 negated the efficacy of colistin.
12 edly reduces AKI risk, allowing safer use of colistin.
13 with antimicrobial resistance, including to colistin.
14 h tubes per isolate, to which 0, 1, 2, and 4 colistin 10-ug disks were added, generating final concen
15 ntose phosphate pathway induced initially by colistin (15 min and 1 hr) and later by doripenem (4 hr)
16 easured using LC-MS following treatment with colistin (2 mg/L) or doripenem (25 mg/L) alone, and thei
18 the latter period, a new policy of high-dose colistin (9 million international units [MIU] loading do
19 ment of infections due to this organism with colistin, a last-resort antibiotic of the polymyxin clas
21 AKI risk in severely ill patients receiving colistin according to a recently proposed dosing strateg
22 modeling indicated that for a more efficient colistin adjuvant activity, likely resulting from inhibi
24 nd some were less toxic than polymyxin B and colistin against mammalian HepG2 cells and human primary
25 e a colistin broth disk elution (CBDE) and a colistin agar test (CAT), the latter of which was evalua
26 ng reduced clinical toxicity associated with colistin, also known as polymyxin E, and improved target
27 swine in China that conferred resistance to colistin, an antibiotic of last resort used in treating
28 ferent conventions used to describe doses of colistin; an absence of appropriate pharmacopoeial stand
31 es per 100 patient-days ranged from 0.2 (for colistin and ceftazidime in P. aeruginosa and for carbap
32 e generated a propensity score for high-dose colistin and conducted propensity-adjusted multivariable
35 Susceptibility testing of the polymyxins (colistin and polymyxin B) is challenging for clinical la
37 mannii strains, resistant to polymyxin B and colistin, and 20 A. baumannii worldwide isolates from 20
38 s that influence the plasma concentration of colistin, and assess the likely appropriateness of the F
40 ction caused by imipenem-nonsusceptible (but colistin- and imipenem/relebactam-susceptible) pathogens
42 lates with resistance to both carbapenem and colistin are not restricted to a given sequence type but
44 2017, China will implement the withdrawal of colistin as a growth promoter, removing over 8,000 tonne
46 ethanesulfonate (CMS) is the only prodrug of colistin available for clinical use for the treatment of
50 wide, and comparative prospective studies of colistin-based combination therapies are lacking, our ob
52 nical data supporting their superiority over colistin-based therapy, and the differences between agen
56 is study was to evaluate the accuracy of the colistin broth disk elution (CBDE) test compared to that
57 G Biotech, Guipry, France) and (ii) the EDTA-colistin broth disk elution (EDTA-CBDE) screening test m
60 istant A. baumannii bacteremia, treated with colistin-carbapenem and colistin-tigecycline combination
63 centration greater than 2 mg/L compared with colistin-carbapenem therapy for extensively drug-resista
64 listin-tigecycline versus patients receiving colistin-carbapenem were 35% versus 15% (p=0.105) and 69
74 to determine the average steady-state plasma colistin concentration (Css,avg) that would be achieved
76 iological studies, both colistin and dextrin-colistin conjugate effectively inhibited LPS-induced hem
77 entration-dependent manner, but only dextrin-colistin conjugate showed no additive toxicity at higher
78 that colistin and amylase-activated dextrin-colistin conjugate to a lesser extent induced aggregatio
79 rimental evidence for the binding of dextrin-colistin conjugates and LPS and gives insight into the m
81 tigated the in vitro ability of such dextrin-colistin conjugates to bind and modulate bacterial lipop
83 carbapenem resistance and finally increased colistin consumption, exemplifying the vicious cycle.
84 f patients receiving the EMA dose achieved a colistin Css,avg >/=1 mg/L, but the attainment rate was
86 FDA- and EMA-approved daily doses to achieve colistin Css,avg of >/=0.5, >/=1, >/=2, and >/=4 mg/L we
87 approximately 65%-75% of patients achieved a colistin Css,avg of >/=1 mg/L with either set of recomme
89 verage, steady-state plasma concentration of colistin (Css,avg) was 0.88 mg/L; individual values rang
90 sis or septic shock may need relatively high colistin daily doses for efficacy against multidrug-resi
91 udy to investigate the synergistic effect of colistin/doripenem combination on the metabolome of A. b
97 ce on polymyxin antibiotics (polymyxin B and colistin) for treatment of multidrug-resistant Gram-nega
98 ity to ampicillin, cefazolin, ciprofloxacin, colistin, gentamicin, meropenem, and tetracycline in com
99 rbapenemase-Producing Organisms (CPO), where colistin has become the last-resort antibiotic treatment
101 Interestingly, some ECC clusters exhibit colistin heteroresistance, where a subpopulation of cell
102 observed in 71% imipenem/relebactam and 70% colistin+imipenem patients (90% confidence interval [CI]
103 red in 10% of imipenem/relebactam and 31% of colistin+imipenem patients, drug-related AEs in 16% and
104 patients (n = 21 imipenem/relebactam, n = 10 colistin+imipenem), 29% had Acute Physiology and Chronic
107 to three clinically relevant antimicrobials (colistin, imipenem or ciprofloxacin) by Transposon Direc
108 updated dose recommendations for intravenous colistin in patients with various degrees of renal funct
110 le if the efficacy and safety of aerosolized colistin in the treatment of ventilator-associated pneum
112 nd A. baumannii and enhanced the activity of colistin in vivo against colistin-resistant P. aeruginos
113 ring murine infection, but in the absence of colistin, innate immune defences led to an increased fre
118 evidence from randomized trials, aerosolized colistin is associated with improved outcome in the trea
119 aumannii has risen rapidly in Vietnam, where colistin is becoming the drug of last resort for many in
124 tments, and more recently to carbapenems and colistin, make UTI a prime example of the antibiotic-res
125 ed trial comparing colistin monotherapy with colistin-meropenem combination for the treatment of seve
126 ed trial comparing colistin monotherapy with colistin-meropenem combination for the treatment of seve
127 py (10/106, 9.4%) vs. patients randomized to colistin-meropenem combination therapy (12/108, 11.1%),
128 (10/106, 9.4%) versus patients randomized to colistin-meropenem combination therapy (12/108, 11.1%; P
129 isolates were higher in those randomized to colistin-meropenem combination therapy compared to colis
133 gavage with high dose kanamycin, gentamicin, colistin, metronidazole, vancomycin, individually or in
136 g in the MicroScan colistin well displayed a colistin MIC of >=4 by BMD, all were determined to be ne
139 istant to PmB (MICs 384-1024 ug ml(-1) ) and colistin (MIC 256 ug ml(-1) ) as well as enhanced LL-37
142 he detection of isolates displaying elevated colistin MICs, which could then undergo further characte
144 mug/mL is required for killing bacteria with colistin minimum inhibitory concentrations of 2 mug/mL.
145 etween patients randomized to treatment with colistin monotherapy (10/106, 9.4%) versus patients rand
146 etween patients randomized to treatment with colistin monotherapy (10/106, 9.4%) vs. patients randomi
147 in-meropenem combination therapy compared to colistin monotherapy (OR, 3.065 [95% CI, 1.021-9.202]).
148 e was observed between the 2 treatment arms (colistin monotherapy 6/128 [4.7%] vs combination therapy
149 was observed between the two treatment arms (colistin monotherapy 6/128 [4.7%] vs. combination therap
151 rom a randomized, controlled trial comparing colistin monotherapy with colistin-meropenem combination
152 from a randomized controlled trial comparing colistin monotherapy with colistin-meropenem combination
153 mergence of colistin resistance, compared to colistin monotherapy, when given to patients with infect
155 enes essential for growth during exposure to colistin (n = 35), imipenem (n = 1) or ciprofloxacin (n
156 te, dry, molar tooth appearance on anaerobic colistin nalidixic acid (CNA) agar which likely facilita
157 plated onto blood (blood agar plate [BAP]), colistin-nalidixic acid (CNA), and MacConkey agars in 5%
164 nant in colistin, returned to baseline after colistin removal and was dependent on the histidine kina
167 ssential gene not previously found linked to colistin resistance (dedA) restored colistin susceptibil
168 We also discuss the growing family of mobile colistin resistance (MCR) enzymes, each of which is anal
169 However, with the discovery of highly mobile colistin resistance (mcr) genes, colistin resistance has
170 esistance, including the spread of mobilized colistin resistance (mcr) genes, raises the possibility
171 paration protocol by using a set of 6 mobile colistin resistance (MCR) protein-expressing Escherichia
172 n (CBDE) test to screen for plasmid-mediated colistin resistance (PMCR) genes based on any reduction
176 re necessary to elucidate the development of colistin resistance and methods for its prevention.
177 librium between expression of MCR-1-mediated colistin resistance and minimalizing toxicity and thus e
178 developed MALDIxin test enables detection of colistin resistance by matrix-assisted laser desorption
179 -negative organisms reduces the emergence of colistin resistance compared to colistin monotherapy.
183 tion therapy did not reduce the incidence of colistin resistance emergence in patients with infection
184 report a previously unrecognized non-mobile colistin resistance enzyme, termed NMCR-2, originating f
187 e review recent reports on the prevalence of colistin resistance genes in animals, especially wildlif
188 origin, studies on the prevalence of mobile colistin resistance genes in aquaculture and their trans
189 WGS found that three potential mechanisms of colistin resistance had emerged separately, two due to d
191 ghly mobile colistin resistance (mcr) genes, colistin resistance has become an increasingly urgent is
193 lycolipid phenotyping method that identifies colistin resistance in A. baumannii complex clinical iso
194 luated the association between mortality and colistin resistance in Acinetobacter baumannii infection
199 sing inhibitor of the enzyme responsible for colistin resistance mediated by lipid A aminoarabinosyla
200 Compared to their parent strains, high-level colistin resistance mutants (HLCRMs) show reduced fitnes
202 When an E coli strain, SHP45, possessing colistin resistance that could be transferred to another
203 luding 9 recent clinical isolates to develop colistin resistance through inactivation of the lipid A
204 tional mutations that may be associated with colistin resistance through novel resistance mechanisms.
209 combination therapy reduces the emergence of colistin resistance, compared to colistin monotherapy, w
217 isolates were retrospectively identified as colistin resistant (CoR) when tested by broth microdilut
218 velop a new 9-plex assay to detect mobilized colistin resistant genes as clinically relevant targets
224 g-resistant Gram-negative pathogens, such as colistin-resistant Acinetobacter baumannii in a mouse pe
225 survival of most Gram-negative bacteria, but colistin-resistant Acinetobacter baumannii lacking lipid
227 tigate the dynamics and genetic diversity of colistin-resistant commensal Escherichia coli from broil
228 and subsequent molecular characterization of colistin-resistant Enterobacteriaceae For the MicroScan
230 ult, PAS8-b-PDM12 sensitizes carbapenem- and colistin-resistant GNB to multiple antibiotics in vitro
231 er discern the mechanism of resistance among colistin-resistant Gram-negative isolates and to detect
232 ific AMR concerns, including carbapenem- and colistin-resistant gram-negative organisms, pose a clini
234 uding 19 confirmed MCR protein producers, 12 colistin-resistant isolates that tested negative for com
238 re designed, synthetized, and tested against colistin-resistant Pseudomonas aeruginosa strains includ
239 bacteria, including carbapenem-resistant and colistin-resistant strains bearing plasmid-borne mcr-1 g
240 , D-RR4 demonstrated potent activity against colistin-resistant strains of P. aeruginosa (isolated fr
243 oQ, with onward transmission of two distinct colistin-resistant variants, resulting in two sub-clones
246 tinct from persisters, became predominant in colistin, returned to baseline after colistin removal an
247 comparing adjunctive aerosolized versus i.v. colistin (seven observational cohort or case-control stu
250 oreover, microwebs work synergistically with colistin sulfate, a common and a last-resort antibiotic,
251 Overall, an excellent correlation between colistin susceptibility and resistance, determined by MI
252 inked to colistin resistance (dedA) restored colistin susceptibility by reducing the minimum inhibito
253 r colonization with CRKp isolates tested for colistin susceptibility during the study period of Decem
256 clinical applicability of this approach for colistin susceptibility testing by assessing a large and
257 f these calcium-enhanced methods for routine colistin susceptibility testing in clinical laboratories
258 t; improved clinical laboratory capacity for colistin susceptibility testing is needed to prevent the
260 om July 2014 to October 2015 were tested for colistin susceptibility using agar dilution, and charact
264 -resistant A. baumannii (CRAB) identified as colistin susceptible (CoS) at the time of treatment and
265 stant progeny (up to >256 mug/mul) from four colistin susceptible Vietnamese isolates and one suscept
267 ymyxin susceptibility, were obtained for all colistin-susceptible E. coli isolates, whereas positive
271 tee endorsed the CBDE and CAT-10 methods for colistin testing of Enterobacterales and P. aeruginosa.
274 te concentrations of combination therapy for colistin-tigecycline group was 18% and for colistin-carb
275 oints received standard combination therapy: colistin-tigecycline in 29 patients and colistin-carbape
276 creased 14-day mortality was associated with colistin-tigecycline therapy given tigecycline minimum i
277 pital mortality rates for patients receiving colistin-tigecycline versus patients receiving colistin-
284 were 50 of 144 (34.7%) deaths with high-dose colistin vs 165 of 385 (42.9%) with low-dose colistin (P
285 ce has attracted substantial attention after colistin was considered as a last-resort drug for the tr
286 l antibiotic prophylaxis with tobramycin and colistin was implemented as standard of care prior to co
289 ted whether the adapted use of the MicroScan colistin well (4 mug/ml) could enhance laboratory capaci
290 health laboratories could use the MicroScan colistin well as a first screen for the detection of iso
292 e 37 of 39 isolates growing in the MicroScan colistin well displayed a colistin MIC of >=4 by BMD, al
294 sistant Enterobacteriaceae For the MicroScan colistin well, categorical agreement with BMD was 92.7%,
297 concentrations of colistimethate and formed colistin were subjected to population pharmacokinetic mo
299 ce of resistance to "last-resort antibiotic" colistin, while isolates resistant to TCS exhibited high