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Intermediate Susceptibility Dose-Dependent Breakpoints For High-Dose Rifampin, Isoniazid, and Pyrazinamide Treatment in Multidrug-Resistant Tuberculosis Programs
Clinical Infectious Diseases ( IF 8.2 ) Pub Date : 2018-04-24 , DOI: 10.1093/cid/ciy346
Marlanka A Zuur 1 , Jotam G Pasipanodya 2 , Dick van Soolingen 3, 4 , Tjip S van der Werf 5 , Tawanda Gumbo 2 , Jan-Willem C Alffenaar 1
Affiliation  

Bacterial susceptibility is categorized as susceptible, intermediate-susceptible dose-dependent (ISDD), and resistant. The strategy is to use higher doses of first-line agents in the ISDD category, thereby preserving the use of these drugs. This system has not been applied to antituberculosis drugs. Pharmacokinetic/pharmacodynamic (PK/PD) target exposures, in tandem with Monte Carlo experiments, recently identified susceptibility breakpoints of 0.0312 mg/L for isoniazid, 0.0625 mg/L for rifampin, and 50 mg/L for pyrazinamide. These have been confirmed in clinical studies.

中文翻译:

在多药耐药结核病项目中大剂量利福平,异烟肼和吡嗪酰胺治疗的中等药敏剂量依赖性断点

细菌易感性分为易感性,中度易感剂量依赖性(ISDD)和耐药性。该策略是在ISDD类别中使用更高剂量的一线药物,从而保留这些药物的使用。该系统尚未应用于抗结核药物。药代动力学/药效学(PK / PD)目标暴露与蒙特卡洛实验相结合,最近确定了异烟肼的敏感性折点为0.0312 mg / L,利福平为0.0625 mg / L,吡嗪酰胺为50 mg / L。这些已经在临床研究中得到证实。
更新日期:2018-04-24
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