Drug concentration minimum inhibitory

More recent investigations on the antimycobacterial activity of pamamycin-607 (lb) on 25 independent M. tuberculosis clinical isolates (either susceptible, mono-, or multiresistant to the first line antituberculous drugs) established minimum inhibitory concentrations MICjoo in the range of 1.5-2.0 pg/ml, while the MICjoo of lb for a bioluminescent laboratory strain of M. tuberculosis (H37Rv) was determined as 0.55 pg/ml [3a]. Parallel studies on the effect of lb on the cell cycle distribution of human (HL-60) cells by flow cytometry indicated no... 

IVDUs intravenous drug users MIC minimum inhibitory concentration... 

Minimum inhibitory concentration The lowest concentration of a drug that will visually inhibit the growth of a microorganism. 

The treatment of choice until susceptibility of the organism is known as the combination of vancomycin plus ceftriaxone. Penicillin may be used for drug-susceptible isolates with minimum inhibitory concentrations of 0.06 mcg/mL or less, but for intermediate isolates ceftriaxone is used, and for highly drug-resistant isolates a combination of ceftriaxone and vancomycin should be used. A high percent of S. pneumoniae is either intermediately or highly resistant to penicillin. 

The absorption and excretion of carbenicillin in man has been reported [396]. The antibiotic is not absorbed intact from the gut intramuscular injection (which is painful) often provides adequate serum levels (approximately 20 Mg/ntl) but infections with Pseudomonas strains having minimum inhibitory concentrations up to, or higher than, 100 Mg/ml require intravenous thbrapy to achieve such levels. No evidence of active metabolite formation has been obtained. Marked reductions in the half-life (and serum levels) of carbenicillin follow extracorporeal dialysis or peritoneal dialysis, the former producing the most striking effect [397]. These results were, of course, obtained in patients with severe renal failure. Patients with normal renal function rapidly eliminate the drug but, as with all penicillins, renal tubular secretion can be retarded by concurrent administration of probenecid. 

The fact that an accurate animal model does not exist has not precluded the use of other systems to make estimates of the potential of residues to select for resistance. In the absence of in vivo data, in vitro data such as the minimum inhibitory concentrations (MIC) may be used, on a temporary basis, for safety evaluations. Tire MIC has been defined as the minimum concentration of an antimicrobial drug giving complete inhibition of growth of a particular microorganism, as judged by the naked eye after a given period of incubation. 

The importance of tissue penetration varies with the site of infection. The CNS is one body site where the importance of antimicrobial penetration is relatively well defined and correlations with clinical outcomes are established. Drugs that do not reach significant concentrations in cerebrospinal fluid should either be avoided or instilled directly when treating meningitis. Apart from the bloodstream, other body fluids where drug concentration data are clinically relevant include urine, synovial fluid, and peritoneal fluid. Pharmacokinetic parameters such as area under the concentration-time curve (AUC) and maximal plasma concentration can be predictive of treatment outcome when specific ratios of AUC or maximal plasma concentration to the minimum inhibitory concentration (MIC) are achieved. For... 

Isoniazid is the hydrazide of isonicotinic acid. It is a first-line drug for therapy and prophylaxis of tuberculosis. It is bactericidal for rapidly dividing mycobacteria, but bacteriostatic for resting bacilli . Among non-tuberculous mycobacteria, only a few strains, such as Mycobacterium kansasii, are susceptible. As a rule, sensitivity should always be tested in vitro, since the minimum inhibitory concentration varies greatly. 

The maximum plasma concentration reflects the extent of drug bioavailability. It can be used in relation to minimum inhibitory concentration (MIC) to predict the efficacy of concentration-dependent antimicrobial agents (e.g. fluoroquinolones, aminoglycosides). Both the maximum (peak) and minimum (trough) plasma concentrations are used during therapeutic drug monitoring to maximize efficacy and minimize the occurrence of undesirable effects. 

In the laboratory, the relationship between an antimicrobial drug and a pathogen is described by the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC). The MIC is the lowest drug concentration that inhibits bacterial growth. The MBC is the lowest drug concentration that kills 99.9% of the bacteria. 

---