| Literature DB >> 29339388 |
Cornelia B Landersdorfer1,2,3, Rajbharan Yadav4, Jürgen B Bulitta5, Kate E Rogers4,2, Tae Hwan Kim6,7, Beom Soo Shin7, John D Boyce8, Roger L Nation4.
Abstract
We aimed to prospectively validate an optimized combination dosage regimen against a clinical carbapenem-resistant Acinetobacter baumannii (CRAB) isolate (imipenem MIC, 32 mg/liter; tobramycin MIC, 2 mg/liter). Imipenem at constant concentrations (7.6, 13.4, and 23.3 mg/liter, reflecting a range of clearances) was simulated in a 7-day hollow-fiber infection model (inoculum, ∼107.2 CFU/ml) with and without tobramycin (7 mg/kg q24h, 0.5-h infusions). While monotherapies achieved no killing or failed by 24 h, this rationally optimized combination achieved >5 log10 bacterial killing and suppressed resistance.Entities:
Keywords: Acinetobacter baumannii; carbapenem resistance; dynamic hollow-fiber infection model; mathematical modeling; mechanism based; mechanistic; pharmacodynamics; pharmacokinetics; synergy
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Year: 2018 PMID: 29339388 PMCID: PMC5913956 DOI: 10.1128/AAC.02053-17
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191