Journal
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
Volume 61, Issue 2, Pages 235-237Publisher
OXFORD UNIV PRESS
DOI: 10.1093/jac/dkm476
Keywords
homogenizing; tissue distribution; pharmacodynamics; pharmacokinetics
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Over the last decades, numerous papers have appeared-and still are appearing-that describe concentrations in tissues in an effort to predict the efficacy of an antimicrobial agent based on these concentrations and MICs for microorganisms. A common method is to use measurements of concentrations in tissue homogenates, comparing these with values derived from the corresponding blood samples and on that basis draw conclusions with respect to the potential clinical use of the drug. This approach is not justifiable for a number of reasons that includes both pharmacokinetic as well as pharmacodynamic causes. This way of presenting data with the derived conclusions is often misleading and may ultimately be harmful in patient care.
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