TABLE 2.
Pharmacokinetic parameters and activities of amoxicillin, linezolid, and vancomycin in the prophylaxis of experimental endocarditis due to vancomycin-susceptible and vancomycin-resistant E. faecalis strainsa
Prophylactic regimenb | Cmax (mg/liter) | Tmax (h) | Cmin (mg/liter) | T/MIC (h) | No. of infected rats/total no. of rats
|
||
---|---|---|---|---|---|---|---|
VansE. faecalis strain JH2-2 inoculated with ID90 | VanrE. faecalis strain UCN41 inoculated with:
|
||||||
ID90 | 10 × ID90 | ||||||
None | 9/9 | 10/10 | 12/12 | ||||
AMX | 29.4 ± 6.59 | 2 | 0.52 ± 0.08 | 12 | 0/10d | 0/10d,e | 0/9d,e,f |
LNZ-1 | 17.5 ± 5.13 | 1 | 3.81 ± 0.61 | 12 | 2/9d | 8/11 | 9/9 |
LNZ-2 | 18.6 ± 4.47 | 1 | 4.57 ± 1.10 | 24 | ND | 4/10d | 7/9 |
LNZ-4 | 19.3 ± 5.34 | 1 | 5.93 ± 1.69 | 48 | ND | 0/12d | 3/11d |
VAN | 37.8 ± 3.29 | 0.5 | 5.57 ± 0.56 | 12c | 0/9d | 3/3 | ND |
Cmax, peak concentration of drug in serum; Tmax, time to maximum concentration of drug in serum; Cmin, trough concentration of drug in serum; T/MIC, time above MIC; ND, not determined; Vans, vancomycin susceptible; Vanr, vancomycin resistant. Values represent means ± standard deviations.
AMX, human simulation of a single oral dose of 2 to 3 g amoxicillin; LNZ-1, human simulation of a single oral dose of 600 mg linezolid; LNZ-2, human simulation of two consecutive oral doses of 600 mg linezolid every 12 h; LNZ-4, human simulation of four consecutive oral doses of 600 mg linezolid every 12 h; VAN, human simulation of a single i.v. dose of 1 g vancomycin.
Time above the MIC for the susceptible strain.
P < 0.05 versus no treatment.
P < 0.05 versus treatment with LNZ-1.
P < 0.05 versus treatment with LNZ-2.