TABLE 2.
Survival of mice treated with doses close to the ED50s, given in one or two doses beginning 1 h after challengesa
| Organism | Drug regimen | Dosing regimen
|
No. of mice surviving/total no. of mice tested (%) | P value determined by Mantel-Haenszels testb | PK-PD parameters
|
|||||
|---|---|---|---|---|---|---|---|---|---|---|
| Dose (mg/kg) | No. of times given | Cmax/MIC | T>MIC (h) | AUCc/MIC (h) | Cmax-freed/MIC | T>MIC-freee (h) | ||||
| S. aureus | Control | 0 | 8/58 (13.8) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Vancomycin | 4.73 | 1 | 15/24 (62.5) | 0.04 | 7.57 | 1.56 | 6.40 | 5.68 | 1.34 | |
| 2.37 | 2 | 9/24 (37.5) | 4.07 | 2.04 | 6.40 | 3.05 | 1.60 | |||
| Teicoplanin | 2.70 | 1 | 15/24 (62.5) | 0.37 | 8.10 | 7.61 | 29.51 | 0.81 | 0.00 | |
| 1.35 | 2 | 11/24 (45.8) | 4.24 | 10.18 | 29.51 | 0.42 | 0.00 | |||
| S. pneumoniae | Control | 0 | 0/20 (0.0) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ||
| Vancomycin | 0.67 | 1 | 17/30 (56.7) | <0.01 | 8.56 | 1.65 | 6.96 | 6.40 | 1.43 | |
| 0.33 | 2 | 5/30 (17.7) | 4.56 | 2.22 | 6.96 | 3.44 | 1.80 | |||
| Teicoplanin | 0.38 | 1 | 6/30 (20.0) | 0.05 | 18.39 | 10.59 | 65.00 | 1.77 | 2.09 | |
| 0.19 | 2 | 4/30 (13.3) | 9.68 | 16.14 | 65.00 | 0.97 | 0.00 | |||
| Teicoplanin | 0.60 | 1 | 27/30 (90.0) | <0.01 | 29.03 | 12.25 | 104.52 | 2.90 | 3.88 | |
| 0.30 | 2 | 4/30 (13.3) | 15.16 | 19.46 | 104.52 | 1.45 | 2.72 | |||
The second doses were given 2 h later for vancomycin and 12 h later for teicoplanin. Mice were observed for 6 days.
Comparison of the survival curves for the two regimens with the same total dose. Two-tailed P values are given.
The baseline used in the calculation of the AUC was 0.01 μg/ml.
The free fractions of the peak serum drug concentrations are indicated.
The time for which the free fractions of the drugs in serum were above the MICs.