Antibiotika klasse

Vigtigste PK-PD-parameter

Krav til behandlingen

(% af dosis interval)

b-lactam

(penicilliner, cefalosporiner, carbapenemer)

T>MIC

T>MIC over/lig med 50 %

(dog skal også CMAX/MIC over 10)

Fluorkinoloner

(ciprofloxacin, moxifloxacin, ofloxacin)

AUC/MIC

AUC/MIC over 100 (Gram negative bakterier)

AUC/MIC over 30 (Gram positive bakterier)

Makrolider, lincosamider

(erythromycin, roxithromycin, clarithromycin, clindamycin, etc.)

T>MIC

T>MIC over/lig med 50 %

 

Azithromycin

 

AUC/MIC eller CMAX/MIC

AUC/MIC over 100 og/eller

CMAX/MIC over 8

Aminoglykosider

(gentamicin, netilmicin,  tobramycin, etc.)

CMAX/MIC

CMAX/MIC over 8

Glykopeptider

(vancomycin, teicoplanin, etc.)

CMAX/MIC og T>MIC

T>MIC = 100 % og

CMIN/MIC over 8

Sulfametizol

T>MIC

 

? T>MIC over/lig med 50 %

 

Trimethoprim

T>MIC

 

? T>MIC over/lig med 50 %

 

Nitrofurantoin

AUC/MIC

? AUC/MIC over 100

Oxazolidinon

(linezolid)

AUC/MIC

AUC/MIC over 100

Tetracykliner,

(tetracycline, doxycyclin, tigecyclin, etc.)

AUC/MIC

AUC/MIC over 100

(tigecyclin, dog AUC/MIC over 12)

Rifampicin

AUC/MIC

AUC/MIC over 100

Colistin

CMAX/MIC

CMAX/MIC over 8

Metronidazol

CMAX/MIC

CMAX/MIC over 10

AmphotericinB

(amphotericinB, ambisome, abelcet)

CMAX/MIC

CMAX/MIC over 10

Azoler,

(fluconazol, itraconazol, voriconazol, posaconazol, etc.)

AUC/MIC

AUC/MIC over 100

Echinocandin

(caspofungin, anidulafungin, etc.)

CMAX/MIC

CMAX/MIC over 10