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Efficacy of Apramycin against Multidrug-Resistant Acinetobacter baumannii in the Murine Neutropenic Thigh Model
Author(s) -
Anthony D. Kang,
Kenny Smith,
Anders H. Berg,
Katherine A. Truelson,
George M. Eliopoulos,
Christopher McCoy,
James E. Kirby
Publication year - 2018
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.02585-17
Subject(s) - acinetobacter baumannii , microbiology and biotechnology , aminoglycoside , multiple drug resistance , cmax , antibiotics , leukopenia , biology , medicine , pharmacokinetics , pharmacology , chemotherapy , bacteria , pseudomonas aeruginosa , genetics
Apramycin, an aminocyclitol aminoglycoside, was rapidly bactericidal againstAcinetobacter baumannii . In a neutropenic murine thigh infection model, treatment-associatedA. baumannii CFU reductions of >4 log10 per thigh were observed for all exposures for which area under the curve (AUC)/MIC ratio was >50 and maximum concentration of drug in serum (C max )/MIC was ≈10 or higher. Based on these findings, we suggest that apramycin deserves further preclinical exploration as a repurposed therapeutic for multidrug-resistant Gram-negative pathogens, includingA. baumannii .

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