Concept
antimicrobial pharmacodynamics
Parents
Children
Antimicrobial AgentsAntimicrobial StewardshipLipopeptidesPeptide ChemistryPharmacodynamics
10.3K
Publications
442.8K
Citations
36.6K
Authors
5.8K
Institutions
Host-Integrated Pharmacodynamics
1944 - 1950
During 1944–1950, antimicrobial pharmacodynamics began to frame dosing around pharmacokinetic principles, prioritizing blood-level targets and minimal effective dosing, with schedules guided by early penicillin pharmacology and animal dynamics. There was rising attention to tissue distribution and site-specific efficacy, including penetration into ocular aqueous humor and broader distribution and excretion patterns that shaped therapeutic exposure at infection sites. The antibiotic repertoire expanded to aureomycin and chloromycetin, with in vitro activity and early therapeutic reports across diverse infections. Clinical translations of disease-targeted penicillin therapies showed early successes in pneumococcic meningitis and streptococcal pharyngitis/tonsillitis, illustrating rapid bench-to-bedside impact.
• Pharmacodynamic optimization emerged as a core research direction, emphasizing blood-level targets, minimal effective dosing, and dosing schedules guided by animal dynamics and early penicillin pharmacology. [11] [13] [20] [12]
• Tissue distribution and pharmacokinetics shaped understanding of site-specific efficacy, illustrated by penetration into ocular aqueous and broader distribution/excretion patterns for antibiotics. [1] [6] [17]
• Expansion of the antibiotic repertoire involved aureomycin and chloromycetin, with in vitro activity and early therapeutic reports across diverse infections. [2] [10] [14] [9] [8]
• Disease-targeted penicillin therapies show early clinical successes in pneumococcic meningitis and streptococcal pharyngitis/tonsillitis, illustrating rapid translational impact. [7] [19] [12]
Antibiotic Pharmacodynamics and Interactions
1951 - 1957
Pharmacodynamic Dosing Foundations
1958 - 1983
Tissue-Targeted PK/PD Paradigm
1984 - 1990
Pharmacokinetic-Pharmacodynamic Guided Dosing
1991 - 2002
PK-PD Driven Dosing
2003 - 2009
Pharmacodynamic Optimization
2010 - 2016
Pharmacodynamics-Guided Antimicrobial Strategy
2017 - 2023