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Journal of Antimicrobial Chemotherapy (2000) 46, 163-170
© 2000 The British Society for Antimicrobial Chemotherapy


Reviews

The use of in vitro pharmacodynamic models of infection to optimize fluoroquinolone dosing regimens

Alasdair MacGowan*, Chris Rogers and Karen Bowker

Bristol Centre for Antimicrobial Research and Evaluation, North Bristol NHS Trust and University of Bristol, Department of Medical Microbiology, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK


    Introduction
 
In vitro pharmacodynamic models of infection are widely used to assess the likely efficacy of various antibacterial dosing regimens against relevant common pathogens. A significant body of data has been accumulated on the pharmacodynamics of fluoroquinolones using such systems, but there are conflicts with data from other in vitro models and with animal and human findings. To ensure clarity in the development of dosing with fluoroquinolones, and to ensure that regimens are optimized in terms of antibacterial effect and/or preventing emergence of resistance, it is important to seek explanations for these divergent findings. In this review we will discuss the methodological and analytical factors involved in pharmacodynamic analyses using in vitro models of infection and how these may affect the conclusions drawn.

The simplest type of experiment using in vitro pharmacodynamic models tests the simulated serum pharmacokinetic profile of a drug at a defined dose against a range of pathogens . . . [Full Text of this Article]


    Notes
 

    References
 

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