{"id":89,"date":"2023-08-29T13:08:55","date_gmt":"2023-08-29T13:08:55","guid":{"rendered":"https:\/\/www.merckconnect.com\/zerbaxa\/?page_id=89"},"modified":"2026-04-09T12:09:21","modified_gmt":"2026-04-09T12:09:21","slug":"mechanism-of-action","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/","title":{"rendered":"Mechanism of action"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div class=\"vivid360-heading\" id=\"ab1645ae4-c47f-4993-b748-81b79d049b88\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:36px;--tabletFontSize:36px;--mobileFontSize:24px;--desktopLineHeightSize:45px;--tabletLineHeightSize:45px;--mobileLineHeightSize:\" id=\"top\"><strong>Mechanism of action for ZERBAXA\u00ae (ceftolozane and tazobactam)<\/strong><\/h1><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a5be11cea-8b6a-4a56-b794-06025a236a93\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>ZERBAXA combines a novel cephalosporin that has bactericidal action with a proven beta-lactamase inhibitor<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a62a98675-b3c1-4576-af1b-34c2392aa869\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"Dosing-1 \"><strong>Learn about:<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-a8537442-665d-4995-85c7-6dee7ae6ff18 custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-a8537442-665d-4995-85c7-6dee7ae6ff18\"><ul class=\"first-level\"><li><em><a href=\"#MOA\">Mechanism of action<\/a><\/em><\/li><li><em><a href=\"#AA\">Antimicrobial activity<\/a><\/em><\/li><li><em><a href=\"#MOR\">Mechanisms of resistance<\/a><\/em><\/li><\/ul><\/div>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a9d841cb3-502f-4c3e-9abc-d1cc56ba4b7b\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"MOA\"><strong>Mechanism of action<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:65%\"><link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1777274844' media='all' \/>\n\n<div class=\"wp-block-vivid360-image img-container ml-0 mr-0 mb-0 mt-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/CAT_Ceftolozane_Tazobactam_dk_Rb.svg\" alt=\"Ceftolozane Inhibits Select P. aeruginosa and E. coli Penicillin-Binding Proteins and Tazobactam Irreversibly Inhibits Some Beta- Lactamases\" class=\"wp-image-3004  style-noshadow deskHeightAuto deskWidthAuto \" style=\"height:173px;width:441px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/CAT_Ceftolozane_Tazobactam_dk_Rb.svg\" alt=\"Ceftolozane Inhibits Select P. aeruginosa and E. coli Penicillin-Binding Proteins and Tazobactam Irreversibly Inhibits Some Beta- Lactamases\" class=\"wp-image-3004  style-noshadow mobile-image mobHeightAuto mobWidthAuto \" width=\"457\" height=\"169\" title=\"\" style=\"height:169px;width:457px\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a9c4e8263-4e38-401c-a142-24f33d06502a\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"AA\"><strong>Antimicrobial activity<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>ZERBAXA has been shown to be active against the following bacteria, both&nbsp;in vitro&nbsp;and in clinical infections.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a32dc7c25-95f2-470e-9486-96bbb71e8342\"><h3 class=\"content-width fontWeightBold\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia (HABP\/VABP)<\/h3><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"af510674b-8061-40ff-9bf7-6cf972dd244f\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightRegular mb-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Gram-negative bacteria<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-table-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/table\/css\/style.min.css?ver=6.8.5' media='all' \/>\n<link rel='stylesheet' id='vivid360-table-sortable-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/table\/css\/sortable.min.css?ver=6.8.5' media='all' \/>\n\n<figure class=\"wp-block-vivid360-table content-width mt-0\"><table id=\"a2354b33e-498f-4cb7-8e01-dcb6f1f0877b-vivid360-table-id\" class=\"a2354b33e-498f-4cb7-8e01-dcb6f1f0877b squished\" style=\"--tableBorder:1px solid #435363;--tableBorderRadius:0\" role=\"grid\"><tbody><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Enterobacter<\/em><br><em>cloacae<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Escherichia<\/em><br><em>coli<\/em><\/td><\/tr><tr style=\"background-color:#e6e7e8\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Haemophilus<\/em><br><em>influenzae<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Klebsiella<\/em><br><em>oxytoca<\/em><\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Klebsiella<\/em><br><em>pneumoniae<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Proteus<\/em><br><em>mirabilis<\/em><\/td><\/tr><tr style=\"background-color:#e6e7e8\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Pseudomona<\/em>s<br><em>aeruginosa<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Serratia<\/em><br><em>marcescens<\/em><br><\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a5b0b1243-2733-4bee-9787-5fa2fdd07667\"><h3 class=\"content-width fontWeightBold\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Complicated urinary tract infections, including pyelonephritis (cUTIs)<\/h3><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"aa778b5ee-c764-400f-9b2a-b89c48019dfd\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightRegular mb-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Gram-negative bacteria<\/strong><\/h2><\/div>\n\n\n\n<figure class=\"wp-block-vivid360-table content-width mt-0\"><table id=\"a21121d24-f08f-470b-ae4f-162b8e0f8aaa-vivid360-table-id\" class=\"a21121d24-f08f-470b-ae4f-162b8e0f8aaa squished\" style=\"--tableBorder:1px solid #435363;--tableBorderRadius:0\" role=\"grid\"><tbody><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em><em>Escherichia<\/em><br><em>coli<\/em><\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Klebsiella<\/em><br><em>pneumoniae<\/em><\/td><\/tr><tr style=\"background-color:#e6e7e8\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Proteus<\/em><br><em>mirabilis<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Pseudomonas<\/em><br><em>aeruginosa<\/em><\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a3762c2fe-6622-4251-aadb-dbb925eecbde\"><h3 class=\"content-width fontWeightBold\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Complicated intra-abdominal infections (cIAIs)<\/h3><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:70%\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a1cc395aa-d901-4321-9d09-65820ee0d15a\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightRegular mb-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Gram-negative bacteria<\/strong><\/h2><\/div>\n\n\n\n<figure class=\"wp-block-vivid360-table content-width mb-0 mt-0\"><table id=\"a863451e1-2142-4d68-bfe2-45b0aca1d1e7-vivid360-table-id\" class=\"a863451e1-2142-4d68-bfe2-45b0aca1d1e7 squished\" style=\"--tableBorder:1px solid #435363;--tableBorderRadius:0\" role=\"grid\"><tbody><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Enterobacter<\/em><br><em>cloacae<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Escherichia<\/em><br><em>coli<\/em><\/td><\/tr><tr style=\"background-color:#e6e7e8\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Klebsiella<\/em><br><em>oxytoca<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Klebsiella<\/em><br><em>pneumoniae<\/em><\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Proteus<\/em><br><em>mirabilis<\/em><\/td><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Pseudomonas<\/em><br><em>aeruginosa<\/em><\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a90149864-e817-4c95-a0e0-7884a9368088\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightRegular mb-0 mt-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Gram-positive bacteria<\/strong><\/h2><\/div>\n\n\n\n<figure class=\"wp-block-vivid360-table content-width mt-0 mb-0\"><table id=\"a72909f7f-74cb-4452-9549-5feb811193c4-vivid360-table-id\" class=\"a72909f7f-74cb-4452-9549-5feb811193c4 squished\" style=\"--tableBorder:1px solid #435363;--tableBorderRadius:0\" role=\"grid\"><tbody><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Streptococcus anginosus<\/em><\/td><\/tr><tr style=\"background-color:#e6e7e8\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Streptococcus constellatus<\/em><\/td><\/tr><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Streptococcus salivarius<\/em><\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"aa97418a0-99de-4191-bf83-83c8cfa422db\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightRegular mb-0 mt-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Anaerobic bacteria<\/strong><\/h2><\/div>\n\n\n\n<figure class=\"wp-block-vivid360-table content-width mb-0 mt-0\"><table id=\"a4002fc60-5186-4b82-b85a-e1b9d4da575a-vivid360-table-id\" class=\"a4002fc60-5186-4b82-b85a-e1b9d4da575a squished\" style=\"--tableBorder:1px solid #435363;--tableBorderRadius:0\" role=\"grid\"><tbody><tr style=\"background-color:#fff\"><td class=\"has-text-align-center has-black-color has-regular-font-size\" style=\"color:undefined!important\" data-align=\"center\"><em>Bacteroides fragilis<\/em><\/td><\/tr><\/tbody><\/table><div class=\"\"><small class=\"table-caption\"><\/small><\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  use-image-all block-9ef0be89-39c0-4ceb-b479-3ecd810f1f4c custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-9ef0be89-39c0-4ceb-b479-3ecd810f1f4c\"><ul class=\"first-level\"><li><em><a href=\"#top\">Back to top<\/a><\/em><\/li><li><em><a href=\"#MOA\">Mechanism of action<\/a><\/em><\/li><li><em><a href=\"#AA\">Antimicrobial activity<\/a><\/em><\/li><li><em><a href=\"#MOR\">Mechanisms of resistance<\/a><\/em><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"abaf0023a-a619-41cc-9c18-c13ff85d6ece\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"MOR\"><strong>Mechanisms of resistance<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a66d58514-f82d-44c9-a827-27921707a424\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>ZERBAXA is active in vitro in the presence of select key mechanisms of resistance<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><em>P. aeruginosa<\/em>&nbsp;isolates with the most prevalent mechanisms of resistance (AmpC, loss of outermembrane porin, upregulation of efflux pumps) and some ESBLs<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 ml-0 mr-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"column-wrapper _51c477e0-76be-4bed-990a-35f35cc48b16\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-51c477e0-76be-4bed-990a-35f35cc48b16,\n\t\t\t\t\t._51c477e0-76be-4bed-990a-35f35cc48b16 {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-51c477e0-76be-4bed-990a-35f35cc48b16,\n\t\t\t\t\t._51c477e0-76be-4bed-990a-35f35cc48b16 {\n\t\t\t\t\t\tflex-basis: 100% !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column is-vertically-aligned-top mb-0 is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:65%\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"aacff4aa8-6120-4ed3-ada8-88d1d12822c9\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightBold ml-0 mr-0 mb-0 mt-3\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><em>P. aeruginosa<\/em> isolates<\/h2><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table is-scroll-on-mobile ml-0 mr-0 mb-0\"><table class=\"\"><tbody><tr><td style=\"text-align:center;color:#000;border-color:#FFF #435363 #435363\"><span class=\"no-wrap-text\">Chromosomal<\/span><br><span class=\"no-wrap-text\">AmpC<\/span><\/td><td style=\"text-align:center;color:#000;border-color:#FFF #435363 #435363\">Loss of outer<br><span class=\"no-wrap-text\">membrane<\/span> porin<sup>a<\/sup><\/td><td style=\"text-align:center;color:#000;border-color:#FFF #435363 #435363\"><span class=\"no-wrap-text\">Upregulation<\/span> of<br>efflux pumps<sup>b<\/sup><\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_6cd1b89c-4d6d-4daa-900c-87f335a79812 mb-3\" id=\"\"><p><sup>a<\/sup>OprD, <sup>b<\/sup>MexXY, MexAB.<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a1f64aa2a-2f77-49e5-b249-8936a7c9b080\"><h2 class=\"has-white-color has-text-align-center has-primary-background-color content-width fontWeightBold ml-0 mr-0 mb-0 mt-3\" style=\"--desktopFontSize:30px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">ESBLs<\/h2><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table ml-0 mr-0\"><table class=\"has-fixed-layout\"><tbody><tr><td style=\"text-align:center;border-width:1px;border-style:solid;border-color:#FFF #435363 #435363;color:#000\">TEM<\/td><td style=\"text-align:center;border-width:1px;border-style:solid;border-color:#FFF #435363 #435363;color:#000\">SHV<\/td><td style=\"text-align:center;border-width:1px;border-style:solid;border-color:#FFF #435363 #435363;color:#000\">CTX-M<\/td><td style=\"text-align:center;border-width:1px;border-style:solid;border-color:#FFF #435363 #435363;color:#000\">OXA<\/td><\/tr><tr><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><td style=\"text-align:center;border-color:#435363\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/Check-mark.svg\" alt=\"\" width=\"47\" height=\"36\"><\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"column-wrapper _35200628-ce99-4586-974d-a3ffd39b0bad is-layout-flow wp-block-column-is-layout-flow\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-35200628-ce99-4586-974d-a3ffd39b0bad,\n\t\t\t\t\t._35200628-ce99-4586-974d-a3ffd39b0bad {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-35200628-ce99-4586-974d-a3ffd39b0bad,\n\t\t\t\t\t._35200628-ce99-4586-974d-a3ffd39b0bad {\n\t\t\t\t\t\tflex-basis: 0% !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column\" style=\"flex-basis:35%\"><\/div><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--tablet-spacer:8px;--mobile-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a14920e19-3af2-4f66-8c3b-4a3528438f8c\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>ZERBAXA is not active against bacteria that produce serine carbapenemases <span class=\"no-wrap-text\">(<em>K. pneumoniae<\/em><\/span> carbapenemase [KPC]) and metallo-beta-lactamases.<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ac1b4f709-d7f2-4e27-b5e2-edd580f99f2f\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>The clinical significance of in vitro data is unknown<\/strong>.<\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  use-image-all block-0e9de6e0-ed55-4ed9-859c-57a6cd57271a custom-colored-hyperlink\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-0e9de6e0-ed55-4ed9-859c-57a6cd57271a\"><ul class=\"first-level\"><li><em><a href=\"#top\">Back to top<\/a><\/em><\/li><li><em><a href=\"#MOA\">Mechanism of action<\/a><\/em><\/li><li><em><a href=\"#AA\">Antimicrobial activity<\/a><\/em><\/li><li><em><a href=\"#MOR\">Mechanisms of resistance<\/a><\/em><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1765966675' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular\" role=\"button\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:4px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckconnect.com\/zerbaxa\/clinical-efficacy-habp-vabp\/\" title=\"View Clinical Data\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"View Clinical Data\" data-design-module=\"element\" data-event-name=\"element_click\">View Clinical Data<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>ZERBAXA has been shown to be active against the following bacteria, both&nbsp;in vitro&nbsp;and in clinical infections. P. aeruginosa&nbsp;isolates with the most prevalent&#8230;<\/p>\n","protected":false},"author":750,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[267],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[300],"ga4_page_customer_journey_stage":[334],"ga4_page_customer_specialty":[358],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[522],"ga4_page_product":[706],"ga4_page_region":[749],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-89","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mechanism of Action for ZERBAXA\u00ae (ceftolozane and tazobactam)<\/title>\n<meta name=\"description\" content=\"Review the mechanism of action for ZERBAXA\u00ae (ceftolozane and tazobactam).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mechanism of Action for ZERBAXA\u00ae (ceftolozane and tazobactam)\" \/>\n<meta property=\"og:description\" content=\"Review the mechanism of action for ZERBAXA\u00ae (ceftolozane and tazobactam).\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/\" \/>\n<meta property=\"og:site_name\" content=\"zerbaxa\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-09T12:09:21+00:00\" \/>\n<meta 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(ceftolozane and tazobactam).","og_url":"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/","og_site_name":"zerbaxa","article_modified_time":"2026-04-09T12:09:21+00:00","og_image":[{"url":"https:\/\/www.merckconnect.com\/zerbaxa\/wp-content\/uploads\/sites\/130\/2025\/10\/CAT_Ceftolozane_Tazobactam_dk_Rb.svg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/","url":"https:\/\/www.merckconnect.com\/zerbaxa\/mechanism-of-action\/","name":"Mechanism of Action for ZERBAXA\u00ae (ceftolozane and 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