Correlation between the in vitro and in vivo effects of fourteen beta-lactam compounds in mice with systemic infection

Chemotherapy. 1994 Sep-Oct;40(5):324-32. doi: 10.1159/000239214.

Abstract

The in vivo effect of 14 beta-lactam compounds was compared with the in vitro effect in mice systemically infected with Pseudomonas aeruginosa E7 or Klebsiella pneumoniae 3K-25. The microorganisms were inoculated intraperitoneally, and the in vivo effect of the drug was expressed as the median effective dose (ED50) determined by subcutaneous administration of the drug 1 h after the inoculation. In the mice infected with P. aeruginosa, the ability of the drug to kill the bacteria in a short time (killing activity) was markedly correlated with the ED50 (r = -0.704), but there was no correlation with the maximum concentration, half-life or area under the curve of the drug. The coefficient of multiple correlation of the ED50 with killing activity+time above the minimum bactericidal concentration (MBC) was 0.824 (contribution rate, 67.9%). In the mice infected with K. pneumoniae, the killing activity was highly correlated with MBC (r = 0.899), and the coefficient of multiple correlations with MBC+time above MBC was 0.919 (contribution rate, 84.4%). These results suggest that beta-lactam compounds have strong bactericidal activity in mice with systemic infection and that drugs with a long time above MBC are effective for this condition.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Humans
  • Klebsiella Infections / drug therapy*
  • Klebsiella pneumoniae / drug effects*
  • Mice
  • Microbial Sensitivity Tests
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas aeruginosa / drug effects*
  • Species Specificity
  • beta-Lactams

Substances

  • Anti-Bacterial Agents
  • beta-Lactams