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头孢他啶对囊性纤维化患者分离出的铜绿假单胞菌的体外药效学

In vitro pharmacodynamics of ceftazidime against Pseudomonas aeruginosa isolates from cystic fibrosis patients.

作者信息

Manduru M, Mihm L B, White R L, Friedrich L V, Flume P A, Bosso J A

机构信息

Anti-Infective Research Laboratory, College of Pharmacy, Medical University of South Carolina, Charleston 29245-2303, USA.

出版信息

Antimicrob Agents Chemother. 1997 Sep;41(9):2053-6. doi: 10.1128/AAC.41.9.2053.

Abstract

The concentration/MIC (C/MIC) ratio maximizing the bactericidal activity of ceftazidime against 10 Pseudomonas aeruginosa isolates from cystic fibrosis patients was identified. Bactericidal activity was assessed by determining the percent difference in the area under the killing curve at each C/MIC ratio for all of the isolates from that of their growth control. The percent effect at each C/MIC ratio was fitted to a sigmoidal Emax model with maximum bactericidal activity defined as the C/MIC ratio that produced an effect that was 90% of the Emax. Our results suggest that at least some isolates may require higher C/MIC ratios than previously reported for maximal activity.

摘要

确定了使头孢他啶对来自囊性纤维化患者的10株铜绿假单胞菌分离株杀菌活性最大化的浓度/最低抑菌浓度(C/MIC)比值。通过测定在每个C/MIC比值下所有分离株的杀菌曲线下面积与其生长对照的杀菌曲线下面积的百分比差异来评估杀菌活性。将每个C/MIC比值下的效应百分比拟合到一个S形Emax模型中,将最大杀菌活性定义为产生的效应为Emax的90%的C/MIC比值。我们的结果表明,至少一些分离株可能需要比先前报道的更高的C/MIC比值才能达到最大活性。

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