Antibiotic treatment for animals: effect on bacterial population and dosage regimen optimisation

Concern regarding antimicrobial resistance has led to proposals for the prudent use of antimicrobial agents. Whilst this is appropriate, it is not sufficient. This article proposes that dosage schedules should be developed to provide a basis for the rational use of antimicrobial drugs. This requires...

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Veröffentlicht in:International journal of antimicrobial agents 2000-05, Vol.14 (4), p.307-313
Hauptverfasser: AliAbadi, F.Shojaee, Lees, P
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container_title International journal of antimicrobial agents
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creator AliAbadi, F.Shojaee
Lees, P
description Concern regarding antimicrobial resistance has led to proposals for the prudent use of antimicrobial agents. Whilst this is appropriate, it is not sufficient. This article proposes that dosage schedules should be developed to provide a basis for the rational use of antimicrobial drugs. This requires knowledge of resistance mechanisms and transfer, the biochemistry and structure of microorganisms and both the pharmacodynamics and pharmacokinetics of antimicrobial drugs. Dosage schedules should maintain concentrations at the site of infection in excess of MIC 90 for bacteriostatic drugs and bactericidal drugs acting primarily by time-dependent mechanisms whilst they should provide high AUIC and C max/minimum inhibitory concentration (MIC) values for agents acting mainly by concentration-dependent mechanisms. It is proposed that pharmacodynamic and population pharmacokinetic data should be integrated through use of the sigmoidal E max equation, together with mathematical modelling and appropriate statistical analyses, to take account of the natural variation in drug pharmacodynamics and pharmacokinetics.
doi_str_mv 10.1016/S0924-8579(00)00142-4
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subjects Animal Diseases - drug therapy
Animals
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - classification
Anti-Infective Agents - pharmacokinetics
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antimicrobial drugs
Biological and medical sciences
dosage regimen
Dosage schedule
Drug Resistance, Microbial
Fluoroquinolones
Medical sciences
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics–pharmacodynamics integration
Pharmacology. Drug treatments
Quinolones - pharmacokinetics
Ruminants - metabolism
title Antibiotic treatment for animals: effect on bacterial population and dosage regimen optimisation
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