TABLE 3.
PK/PD of fosfomycin in murine pyelonephritis due to E. coli after a 24-h treatmenta
| Strain | FOS MIC (μg/ml) | FOS AUC0–24/MIC |
Start-of-treatment control mice |
FOS-treated mice |
|||
|---|---|---|---|---|---|---|---|
| Plasma | Kidney | Median (range) log10 CFU count/g of kidneys | No. of sterile mice/total no. of mice tested | Median (range) log10 CFU count/g of kidneys | No. of sterile mice/total no. of mice tested | ||
| CFT073 | 1 | 357.1 | 614.5 | 3.9 (1.9–5.3) | 0/11 | 2.0 (1.8–5.1) | 4/9 |
| B56 | 8 | 44.6 | 76.8 | 3.0 (2.5–6.5) | 0/11 | 1.8 (1.8–2.8) | 4/10 |
| B175 | 32 | 11.2 | 19.2 | 3.4 (2.1–7.0) | 0/11 | 1.9 (1.8–4.9) | 4/10 |
| MUT2 | 64 | 5.6 | 9.6 | 3.7 (2.2–6.8) | 0/12 | 1.9 (1.8–5.5) | 5/10 |
| C05 | 128 | 2.8 | 4.8 | 3.7 (2.3–4.9) | 0/8 | 2.7 (1.9–4.1) | 3/10 |
| C114 | 256 | 1.4 | 2.4 | 3.7 (1.8–5.8) | 0/14 | 1.9 (1.8–5.7) | 6/10 |
FOS, fosfomycin. The median bacterial loads in kidney were 3.7 log10 CFU/g (range, 1.8, 7.0 log10 CFU/g) in the start-of-treatment control mice and 1.9 log10 CFU/g (range, 1.8, 5.7 log10 CFU/g) in the fosfomycin-treated mice (P < 10−6). The lower limit of detection was 1.8 log10 CFU/g of kidney.