Paradoxical effect of polymyxin B: high drug exposure amplifies resistance in Acinetobacter baumannii

BT Tsuji, CB Landersdorfer, JR Lenhard… - Antimicrobial Agents …, 2016 - Am Soc Microbiol
Administering polymyxin antibiotics in a traditional fashion may be ineffective against Gram-
negative ESKAPE (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae …

High-dose ampicillin-sulbactam combinations combat polymyxin-resistant Acinetobacter baumannii in a hollow-fiber infection model

JR Lenhard, NM Smith, ZP Bulman, X Tao… - Antimicrobial Agents …, 2017 - Am Soc Microbiol
Acinetobacter baumannii is emerging with resistance to polymyxins. In 24-h time-kill
experiments, high-dose ampicillin-sulbactam in combination with meropenem and …

[HTML][HTML] Polymyxin Resistance in Acinetobacter baumannii: Genetic Mutations and Transcriptomic Changes in Response to Clinically Relevant Dosage Regimens

SE Cheah, MD Johnson, Y Zhu, BT Tsuji, A Forrest… - Scientific reports, 2016 - nature.com
Polymyxins are often last-line therapeutic agents used to treat infections caused by
multidrug-resistant A. baumannii. Recent reports of polymyxin-resistant A. baumannii …

Polymyxin B in combination with doripenem against heteroresistant Acinetobacter baumannii: pharmacodynamics of new dosing strategies

GG Rao, NS Ly, JB Bulitta, RL Soon… - Journal of …, 2016 - academic.oup.com
Objectives Polymyxin B is being increasingly utilized as a last resort against resistant Gram-
negative bacteria. We examined the pharmacodynamics of novel dosing strategies for …

[HTML][HTML] Pharmacodynamic evaluation of suppression of in vitro resistance in Acinetobacter baumannii strains using polymyxin B-based combination therapy

NH Fedrigo, DR Shinohara, J Mazucheli… - Scientific Reports, 2021 - nature.com
The emergence of polymyxin resistance in Gram-negative bacteria infections has motivated
the use of combination therapy. This study determined the mutant selection window (MSW) …

Strategies for the treatment of polymyxin B-resistant Acinetobacter baumannii infections

TC Menegucci, J Albiero, LB Migliorini… - International journal of …, 2016 - Elsevier
In this study, the activity of meropenem (MEM), fosfomycin (FOF) and polymyxin B (PMB),
alone and in combination, was analysed. In addition, optimisation of the pharmacodynamic …

Exploitation of a novel adjuvant for polymyxin B against multidrug-resistant Acinetobacter baumannii

SY Kim, HW Seo, MS Park, CM Park… - Journal of …, 2023 - academic.oup.com
Background Although polymyxin has been used as a last-resort antibiotic against resistant
bacteria, its use is restricted due to nephrotoxicity and neurotoxicity. While the present …

Combinatorial pharmacodynamics of polymyxin B and tigecycline against heteroresistant Acinetobacter baumannii

GG Rao, NS Ly, J Diep, A Forrest, JB Bulitta… - International journal of …, 2016 - Elsevier
The prevalence of heteroresistant Acinetobacter baumannii is increasing. Infections due to
these resistant pathogens pose a global treatment challenge. Here, the pharmacodynamic …

In Vitro Pharmacodynamics of Polymyxin B and Tigecycline Alone and in Combination against Carbapenem-Resistant Acinetobacter baumannii

M Hagihara, ST Housman, DP Nicolau… - Antimicrobial agents …, 2014 - Am Soc Microbiol
Carbapenem-resistant Acinetobacter baumannii is increasing in prevalence. Polymyxin B
and tigecycline are among the most active antibiotics used against this pathogen in vitro …

A New Pharmacokinetic-Pharmacodynamic Model To Characterize the Inoculum Effect of Acinetobacter baumannii on Polymyxin B In Vitro

G Akrong, A Chauzy, V Aranzana-Climent… - Antimicrobial Agents …, 2022 - Am Soc Microbiol
The inoculum effect (ie, reduction in antimicrobial activity at large starting inoculum) is a
phenomenon described for various pathogens. Given that limited data exist regarding …