Use of modeling techniques to aid in antibiotic selection

被引:13
作者
Alexander A. Firsov
Stephen H. Zinner
机构
[1] Centre for Science & Technology LekBioTech,Department of Pharmacokinetics
[2] Harvard Medical School,Mount Auburn Hospital
关键词
Levofloxacin; Moxifloxacin; Antimicrob Agent; Antimicrobial Effect; Gatifloxacin;
D O I
10.1007/s11908-001-0057-9
中图分类号
学科分类号
摘要
Over the past decade, the use of modeling techniques in the development of novel antibiotics has been primarily associated with in vitro dynamic models. These models allow comparisons among different antibiotics by simulating human pharmacokinetics. Although dynamic models have been used extensively, their full potential has not been achieved because of inadequate experimental design and/or suboptimal quantitation of bacterial killing/regrowth curves inherent in many studies. These issues are discussed in this review, which is based on recent pharmacodynamic findings with novel fluoroquinolones.
引用
收藏
页码:35 / 43
页数:8
相关论文
共 105 条
  • [31] Seeberg AH(1998)Inter- and intraquinolone predictors of antimicrobial effect in an in-vitro dynamic model: new insight into a widely used concept Antimicrob Agents Chemother 42 659-665
  • [32] White CA(1996)Twenty-four-hour area under the concentration-time curve/ MIC ratio as a generic predictor of fluoroquinolone antimicrobial effect by using three strains of Pseudomonas aeruginosa and an in vitro pharmacodynamic model Antimicrob Agents Chemother 40 627-632
  • [33] Toothaker R(1995)Comparison of the pharmacodynamic properties of quinolones Drugs 49 269-271
  • [34] Wiedemann B(1998)Pharmacodynamics of gatifloxacin in cerebrospinal fluid in experimental cefalosporin-resistent pneumococcal meningitis Antimicrob Agents Chemother 42 2650-2655
  • [35] Jansen A(1993)Critical reappraisal of modern approaches to search determinants of efficacy of antimicrobials Eur Bull Drug Res 2 33-38
  • [36] Firsov AA(2000)In vitro characterization of fluoroqinolone concentration/MIC antimicrobial activity and resistance while simulating clinical pharmacokinetics of levofloxacin, ofloxacin, or ciprofloxacin against Streptococcus pneumoniae Diagn Microb Infect Dis 37 253-260
  • [37] Savarino D(1998)MIC-based interspecies prediction of the antimicrobial effects of ciprofloxacin on bacteria of different susceptibilities in an in vitro dynamic model Antimicrob Agents Chemother 42 2848-2852
  • [38] Rubble M(1998)A new approach to in vitro comparisons of antibiotics in dynamic models: equivalent area under the curve/MIC breakpoints and equiefficient doses of trovafloxacin and ciprofloxacin against bacteria of similar susceptibilities Antimicrob Agents Chemother 42 2841-2847
  • [39] Goi H(1997)Pharmacokinetics and pharmacodynamics of oral grepafloxacin in patients with acute bacterial exacerbations of chronic bronchitis J Antimicrob Chemother 40 45-57
  • [40] Inouye S(undefined)undefined undefined undefined undefined-undefined