Ambrose Paul G, Bhavnani Sujata M, Rubino Christopher M, Louie Arnold, Gumbo Tawanda, Forrest Alan, Drusano George L
Institute for Clinical Pharmacodynamics, Ordway Research Institute, Albany, NY 12208, USA.
Clin Infect Dis. 2007 Jan 1;44(1):79-86. doi: 10.1086/510079. Epub 2006 Nov 27.
Since the advent of the modern era of antimicrobial chemotherapy in the 1930s, animal infection models have allowed for the in vivo evaluation of antimicrobial agents for the treatment of experimentally induced infection. Today, animal pharmacokinetic-pharmacodynamic (PK-PD) infection models serve as a cornerstone of the preclinical assessment process for antibacterial agents and dose and dosing interval selection, as decision support for setting in vitro susceptibility breakpoints, and, finally, for the evaluation of the meaning of in vitro resistance. Over the past 15 years, considerable PK-PD data have been derived from infected patients for many classes of antimicrobial agents. These data provide the opportunity to confirm knowledge gained from animal PK-PD infection models.
自20世纪30年代现代抗菌化疗时代来临以来,动物感染模型已能够在体内评估用于治疗实验性诱导感染的抗菌药物。如今,动物药代动力学 - 药效学(PK - PD)感染模型是抗菌药物临床前评估过程、剂量和给药间隔选择的基石,是设定体外药敏试验折点的决策依据,也是评估体外耐药性意义的依据。在过去15年中,已从感染患者中获得了许多类抗菌药物的大量PK - PD数据。这些数据为确认从动物PK - PD感染模型中获得的知识提供了机会。