{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:06:04Z","timestamp":1790377564569,"version":"4.1.0"},"reference-count":27,"publisher":"American Society for Microbiology","issue":"8","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Antimicrob Agents Chemother"],"published-print":{"date-parts":[[2025,8,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Infections caused by carbapenem-resistant\n                      <jats:italic toggle=\"yes\">Acinetobacter baumannii-calcoaceticus<\/jats:italic>\n                      complex (ABC) are associated with high mortality rates and limited treatment options. This study aims to evaluate the\n                      <jats:italic toggle=\"yes\">in vitro<\/jats:italic>\n                      activity of clinically utilized antimicrobials against a contemporary collection of ABC isolates with a predominant carbapenem-resistant phenotype. Geographically dispersed US medical centers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 22) provided non-duplicate respiratory and bloodstream ABC isolates for surveillance testing. Antimicrobial susceptibility testing was conducted by broth microdilution and interpreted according to Clinical &amp; Laboratory Standards Institute (CLSI) and Food and Drug Administration (FDA) breakpoints. ABC isolates (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 523) from respiratory tract (74.4%) and blood (25.6%) sources were recovered from patients (2023\u20132024). Forty percent were obtained from intensive care unit patients. Carbapenem non-susceptibility was observed in 76.9% of isolates and was more common among respiratory tract cultures. The addition of durlobactam to sulbactam decreased the MIC\n                      <jats:sub>90<\/jats:sub>\n                      by three-doubling dilutions from 32 to 4 \u00b5g\/mL, increasing the susceptibility rate to 96.9% from 33.8%. Genome sequencing of sulbactam-durlobactam non-susceptible isolates (16\/523;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3.1%) revealed MBL and non-enzymatic resistance mechanisms. Cefiderocol inhibited 93.5% and 76.1% of isolates at CLSI and FDA susceptible breakpoints, respectively. Minocycline susceptibility was &lt;50%, while tigecycline and eravacycline MIC\n                      <jats:sub>50\/90<\/jats:sub>\n                      were 1\/2 and 0.5\/1 \u00b5g\/mL, respectively. Sulbactam-durlobactam displayed high activity against sulbactam (95.4%), carbapenem (96.3%), and cefiderocol (95.2%) non-susceptible isolates. Susceptibility rates of clinically utilized antimicrobials against a US collection of ABC isolates ranged from 23% to 97%, with meropenem displaying the lowest rate and sulbactam-durlobactam demonstrating the highest overall rate. Sulbactam-durlobactam activity was preserved against sulbactam, carbapenem, and cefiderocol non-susceptible isolates among respiratory tract and bloodstream isolates.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/aac.00379-25","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T13:43:03Z","timestamp":1752759783000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":12,"title":["Activity of ampicillin-sulbactam, sulbactam-durlobactam, and comparators against\n                    <i>Acinetobacter baumannii-calcoaceticus<\/i>\n                    complex strains isolated from respiratory and bloodstream sources: results from ACNBio study"],"prefix":"10.1128","volume":"69","author":[{"given":"Ecem","family":"Buyukyanbolu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00gt5xe03","id-type":"ROR","asserted-by":"publisher"}],"name":"Center for Anti-Infective Research and Development, Hartford Hospital","place":["Hartford, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Argotsinger","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04c8vnp90","id-type":"ROR","asserted-by":"publisher"}],"name":"Advocate Lutheran General Hospital","place":["Park Ridge, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3383-8665","authenticated-orcid":true,"given":"Eric T.","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Microbiology, ACL Laboratories","place":["Milwaukee, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin 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