Failure of the Amikacin, Cefoxitin, and Clarithromycin Combination Regimen for Treating Pulmonary Mycobacterium abscessus Infection

Author:

Ferro Beatriz E.,Srivastava Shashikant,Deshpande Devyani,Pasipanodya Jotam G.,van Soolingen Dick,Mouton Johan W.,van Ingen JakkoORCID,Gumbo Tawanda

Abstract

ABSTRACTIn a hollow-fiber model, we mimicked the drug exposures achieved in the lungs of humans treated with standard amikacin, clarithromycin, and cefoxitin combination therapy forMycobacterium abscessusinfection. At optimal dosing, a kill rate of −0.09 (95% confidence interval, −0.04 to 0.03) log10CFU per ml/day was achieved over the first 14 days, after which there was regrowth due to acquired drug resistance. Thus, the standard regimen quickly failed. A new regimen is needed.

Funder

HHS | National Institutes of Health (NIH)

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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