作者
Yanfang Feng, Roosmarijn T Bakker, Reinier M van Hest, Caspar J Hodiamont, Stanley Brul, Constance Schultsz, Benno H Ter Kuile
发表日期
2017/7
期刊
FEMS microbiology letters
卷号
364
期号
14
页码范围
fnx142
出版商
Oxford University Press
简介
Pseudomonas aeruginosa is an opportunistic pathogen that can cause life-threatening infections in patients admitted to intensive care units. Resistance rapidly develops against two drugs of choice: ceftazidime and meropenem. Several therapeutic protocols were compared for reduction in viable cells and limiting development of resistance. Chemostat cultures were exposed to antibiotic concentrations measured in the blood of patients at low (5th percentile), medium (50th percentile) or high (95th percentile) levels in several therapy protocols to simulate therapy. Cultures exposed to ceftazidime recovered after 1 day at low, 2 days at medium and 3 days at high concentrations and developed corresponding levels of resistance. Patterns were very similar for meropenem except that recovery was delayed. Fluctuating levels and intermittent treatment achieved similar reduction of cell numbers at lower …
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