An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection

Antimicrobial resistance to antibiotic treatment has significantly increased during recent years, causing this to become a worldwide public health problem. More than 70% of pathogenic bacteria are resistant to at least one of the currently used antibiotics. Polymyxin E (colistin) has recently been u...

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Main Authors: Tatiana Pacheco, Rosa-Helena Bustos, Diana González, Vivian Garzón, Julio-Cesar García, Daniela Ramírez
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/8/3/100
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author Tatiana Pacheco
Rosa-Helena Bustos
Diana González
Vivian Garzón
Julio-Cesar García
Daniela Ramírez
author_facet Tatiana Pacheco
Rosa-Helena Bustos
Diana González
Vivian Garzón
Julio-Cesar García
Daniela Ramírez
author_sort Tatiana Pacheco
collection DOAJ
description Antimicrobial resistance to antibiotic treatment has significantly increased during recent years, causing this to become a worldwide public health problem. More than 70% of pathogenic bacteria are resistant to at least one of the currently used antibiotics. Polymyxin E (colistin) has recently been used as a “last line” therapy when treating Gram-negative multi-resistant bacteria. However, little is known about these molecules’ pharmacological use as they have been discontinued because of their high toxicity. Recent research has been focused on determining colistimethate sodium’s pharmacokinetic parameters to find the optimal dose for maintaining a suitable benefit−risk balance. This review has thus been aimed at describing the use of colistin on patients infected by multi-drug resistant bacteria and the importance of measuring this drug’s plasma levels in such patients.
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spelling doaj.art-a3f0765141ac4aca830cc83dacb6002a2022-12-21T20:07:23ZengMDPI AGAntibiotics2079-63822019-07-018310010.3390/antibiotics8030100antibiotics8030100An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial InfectionTatiana Pacheco0Rosa-Helena Bustos1Diana González2Vivian Garzón3Julio-Cesar García4Daniela Ramírez5Evidence-Based Therapeutic Group, Clinical Pharmacology, Universidad de la Sabana, Chía 140013, ColombiaEvidence-Based Therapeutic Group, Clinical Pharmacology, Universidad de la Sabana, Chía 140013, ColombiaEvidence-Based Therapeutic Group, Clinical Pharmacology, Universidad de la Sabana, Chía 140013, ColombiaEvidence-Based Therapeutic Group, Clinical Pharmacology, Universidad de la Sabana, Chía 140013, ColombiaEvidence-Based Therapeutic Group, Clinical Pharmacology, Universidad de la Sabana, Chía 140013, ColombiaFacultad de Medicina, Univesidad de La Sabana, Chía 140013, ColombiaAntimicrobial resistance to antibiotic treatment has significantly increased during recent years, causing this to become a worldwide public health problem. More than 70% of pathogenic bacteria are resistant to at least one of the currently used antibiotics. Polymyxin E (colistin) has recently been used as a “last line” therapy when treating Gram-negative multi-resistant bacteria. However, little is known about these molecules’ pharmacological use as they have been discontinued because of their high toxicity. Recent research has been focused on determining colistimethate sodium’s pharmacokinetic parameters to find the optimal dose for maintaining a suitable benefit−risk balance. This review has thus been aimed at describing the use of colistin on patients infected by multi-drug resistant bacteria and the importance of measuring this drug’s plasma levels in such patients.https://www.mdpi.com/2079-6382/8/3/100colistinantimicrobial resistanceGram-negative bacteriatherapeutic drug monitoring (TDM)multidrug-resistant (MDR)pandrug-resistant (PDR)extensive-drug resistant (XDR)
spellingShingle Tatiana Pacheco
Rosa-Helena Bustos
Diana González
Vivian Garzón
Julio-Cesar García
Daniela Ramírez
An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection
Antibiotics
colistin
antimicrobial resistance
Gram-negative bacteria
therapeutic drug monitoring (TDM)
multidrug-resistant (MDR)
pandrug-resistant (PDR)
extensive-drug resistant (XDR)
title An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection
title_full An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection
title_fullStr An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection
title_full_unstemmed An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection
title_short An Approach to Measuring Colistin Plasma Levels Regarding the Treatment of Multidrug-Resistant Bacterial Infection
title_sort approach to measuring colistin plasma levels regarding the treatment of multidrug resistant bacterial infection
topic colistin
antimicrobial resistance
Gram-negative bacteria
therapeutic drug monitoring (TDM)
multidrug-resistant (MDR)
pandrug-resistant (PDR)
extensive-drug resistant (XDR)
url https://www.mdpi.com/2079-6382/8/3/100
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