The pharmacodynamics of polymyxin B in <i>Acinetobacter baumannii</i> in murine thigh and lung infection models

Whereas polymyxin B treatment had good efficacy in the murine thigh infection model, in the lung infection model its effect was limited. PD targets, with MICs of circulating A. baumannii isolates of ≤2 mg/L, are not reached with a standard human dosing regimen and will probably exceed threshold values for toxicity. These data suggest that the efficacy of polymyxin B as monotherapy for A. baumannii infections is questionable.

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Journal
Journal of Antimicrobial Chemotherapy
Published
2026-03-02
DOI
https://doi.org/10.1093/jac/dkag097
Primary Topic
Antibiotic Resistance in Bacteria
Type
article
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article

The pharmacodynamics of polymyxin B in Acinetobacter baumannii in murine thigh and lung infection models

Sanne van den Berg, Willem A. M. de Jong, Sebastiaan D. T. Sassen, Michel Pieren et al.
Journal of Antimicrobial Chemotherapy
Antibiotic Resistance in Bacteria
article

The pharmacodynamics of polymyxin B in Acinetobacter baumannii in murine thigh and lung infection models

Sanne van den Berg, Willem A. M. de Jong, Sebastiaan D. T. Sassen, Michel Pieren, A. F. Muller, Glenn E. Dale, Catharina S C Boonman
article en

Abstract

Whereas polymyxin B treatment had good efficacy in the murine thigh infection model, in the lung infection model its effect was limited. PD targets, with MICs of circulating A. baumannii isolates of ≤2 mg/L, are not reached with a standard human dosing regimen and will probably exceed threshold values for toxicity. These data suggest that the efficacy of polymyxin B as monotherapy for A. baumannii infections is questionable.

Journal of Antimicrobial ChemotherapyVol. 81(4)
Erasmus MC (NL), Medisch Centrum Haaglanden (NL), Allgemeine Gewerbeschule Basel (CH)
Openalex Percentile: Top 19%
Antibiotic Resistance in Bacteria
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The pharmacodynamics of polymyxin B in <i>Acinetobacter baumannii</i> in murine thigh and lung infection models — Sanne van den Berg, Willem A. M. de Jong, et al. · Journal of Antimicrobial Chemotherapy (2026) | TGRS Research Map | TGRS