Antibiotic registration: Time for an change ?

Uppsala, Sweden, June 10th, 1999

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Table of Contents

Antibiotic registration: Time for an change ?

Problems related with the discovery and use of new antibiotics

Problems related with the use of modern antibiotics (1 of 2)

Problems related with the use of modern antibiotics (2 of 2)

Resistance ...

Resistance...

Resistance: Production of AB-modifying enzymes

Resistance: Production of AB-modifying enzymes

Resistance: aminoglycoside-modifying enzymes

Resistance: Why so many enzymes ?

Resistance: D-alanine & beta-lactame...

PPT Slide

Resistance: Why so many AB-degrading enzymes ?

Resistance: Why so many enzymes ?

Resistance: Efflux mechanisms

Resistance: Efflux mechanisms

Resistance: Efflux mechanisms

Resistance: other mechanisms...

Resistance: An overview...

Resistance: An overview...

Resistance: What to do ?...

Will efficacy prevent emergence of resistance ? 

Pharmacokinetics / Pharmacodynamics Will efficacy prevent emergence of resistance ? 

Are they parameters predicting a low rate of emergence of resistance ?

What is the concentration needed to prevent mutation and/or selection of bacteria with reduced susceptibility ?

2. Activity

Pharmacokinetic/ Pharmacodynamics and Antiinfective Activity ...

Pharmacokinetic/ Pharmacodynamics in Drug Development and Evaluation

Pharmacokinetic/ Pharmacodynamics in Drug Development and Evaluation

Pharmacokinetic/ Pharmacodynamics in Drug Development and Evaluation

Pharmacokinetics / Pharmacodynamics Aminoglycosides (for a 30 min infusion)

Aminoglycosides ...

Pharmacokinetics / Pharmacodynamics 2. beta-lactams (or how to remain > MIC)

Beta-lactams ...

Pharmacokinetics / Pharmacodynamics Fluoroquinolones: finding an acceptable MIC

Fuoroquinolones ...

Pharmacokinetics / Pharmacodynamics Fluoroquinolones: adusting the dose for an MIC

Pharmacokinetics / Pharmacodynamics Fluoroquinolones: registering (or re-registering) with the correct dosage

Time for a change ?

Yes, if we wish to really keep helping patients

Author: Paul M. Tulkens 

Email: webmaster@isap.org

Home Page: http://www.isap.org/Uppsala-1999.htm