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Antimicrobial Agents and Chemotherapy, February 1998, p. 414-418, Vol. 42, No. 2
Department of Microbiology, Faculty of
Medicine, Complutense University of Madrid, Madrid 28040, Spain
Received 22 November 1996/Returned for modification 15 April
1997/Accepted 21 August 1997
Investigations of pharmacodynamic parameters (postantibiotic effect
[PAE], sub-MIC effects [SMEs], etc.) have been progressively employed for the design of dosing schedules of antimicrobial agents. However, there are fewer in vivo than in vitro data, probably because
of the simplicity of the in vitro procedures. In this study, we have
investigated the in vitro PAE, SME, and previously treated
(postantibiotic [PA]) SME (1/2 MIC, 1/4 MIC and 1/8 MIC) of
azithromycin and isepamicin against standard strains of
Staphylococcus aureus and Escherichia coli
by using centrifugation to remove the antibiotics. In addition, the in
vivo PAE and SME have been studied with the thigh infection model in
neutropenic mice. Finally, in vivo killing curves with two dosing
schedules were determined to examine whether the PAE can cover the
time that antimicrobial agents are below the MIC. The two
antimicrobial agents induced moderate-to-high in vitro PAEs, SMEs, and
PA SMEs against S. aureus (>8 h) and
E. coli (3.38 to >7.64 h). The in vivo PAEs were also high
(from 3.0 to 3.6 h), despite the fact that isepamicin had lower times above the MIC in serum. Only azithromycin showed a high in
vivo SME against the two strains (1.22 and 1.75 h), which indicated that the in vivo PAEs were possibly overestimated.
In the killing kinetics, no great differences (<0.5
log10) were observed between the schedule that took the PAE
into account and the continuous administration of doses. These results
are comparable with those of other authors and suggest that these
antimicrobial agents could be administered at longer intervals without
losing effectiveness.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Postantibiotic and Sub-MIC Effects of Azithromycin and Isepamicin
against Staphylococcus aureus and Escherichia
coli
*
Corresponding author. Mailing address: Department of
Microbiology, Faculty of Medicine, Complutense University of Madrid, Av. Complutense s/n, Madrid 28040, Spain. Phone: (91)-394-15-11. Fax:
(91)-394-15-11. E-mail: jprieto{at}eucmax.sim.ucm.es.
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