SPECULATIONS AS TO THE THERAPEUTIC SIGNIFICANCE OF THE PENICILLIN BLOOD LEVEL

Harry Eagle

Annals of Internal Medicine · 1948 · 80 citations · 24 references

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Article1 February 1948SPECULATIONS AS TO THE THERAPEUTIC SIGNIFICANCE OF THE PENICILLIN BLOOD LEVELHARRY EAGLEHARRY EAGLESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-28-2-260 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptI. THE DIRECT BACTERICIDAL ACTION OF PENICILLINPenicillin is actively bactericidal in vitro1, 2, 3, 4, 5, 6, 7; and although the body's cellular or humoral defense mechanisms probably play a contributory rôle in vivo, that direct bactericidal action may be largely responsible for the therapeutic activity of the drug.The susceptibility of a given organism to penicillin may be defined in terms of three concentrations (figures 1 and 2; cf. also2, 6, 7). The first is that which suffices only to reduce the normal rate of multiplication, and is illustrated by curve 0.004 in figure 1 and point A...Bibliography1. HOBBYMEYERCHAFFEE GLKE: Activity of penicillin in vitro, Proc. Soc. Exper. Biol. and Med., 1942, l, 277-280. CrossrefGoogle Scholar2. _____: Observations on the mechanism of action of penicillin, Proc. Soc. Exper. Biol. and Med., 1942, l, 281-285. CrossrefGoogle Scholar3. HOBBYMEYERDAWSONCHAFFEE GLKMHE: The antibacterial action of penicillin, Jr. Bact., 1942, xliii, 11. Google Scholar4. HEILMANHERRELL FRWE: Comparative antibacterial activity of penicillin and gramicidin: Tissue culture studies, Proc. Staff Meet. Mayo Clin., 1942, xvii, 321-327. Google Scholar5. ROBINSON HJ: Toxicity and efficacy of penicillin, Jr. Pharmacol. and Exper. Therap., 1943, lxxvii, 70-79. Google Scholar6. EAGLEMUSSELMAN HAD: The spirocheticidal action of penicillin in vitro and its temperature coefficient, Jr. Exper. Med., 1944, lxxx, 493-505. CrossrefGoogle Scholar7. DEMEREC M: Production of staphylococcus strains resistant to various concentrations of penicillin, Proc. Nat. Acad. Sci., 1945, xxxi, 16. CrossrefGoogle Scholar8. EAGLE H: A paradoxical zone phenomenon in the bactericidal action of penicillin, Science, 1948, cvii, 44-45. CrossrefGoogle Scholar9. TUCKEREAGLE HAH: The serum concentration of penicillin G in man following its intramuscular injection in aqueous solution and in peanut oil-beeswax suspension, Am. Jr. Med., 1948, in press. CrossrefGoogle Scholar10. ROMANSKYRITTMAN MJGE: Penicillin: prolonged action in beeswax-peanut oil mixture, Bull. U. S. Army Med. Dept., 1944, lxxxi, 43. Google Scholar11. EAGLENEWMAN HEV: The renal clearance of penicillins F, G, K, and X in rabbits and man, Jr. Clin. Invest., 1947, xxvi, 903-918. CrossrefGoogle Scholar12. BIGGER JN: Inactivation of penicillin by serum, Lancet, 1944, ii, 400. CrossrefGoogle Scholar13. EAGLE H: The inactivation of penicillin F, G, K, and X by human and rabbit serum, Jr. Exper. Med., 1947, lxxxv, 141-161. CrossrefGoogle Scholar14. _____: The varying blood levels afforded by penicillins F, G, K, and X in rabbits and man, Jr. Exper. Med., 1947, lxxxv, 163-173. Google Scholar15. TOMPSETTSCHULTZMCDERMOTT RSW: The relation of protein binding to the pharmacology and antibacterial activity of penicillins X, G, dihydro F, and K, Jr. Bact., 1947, liii, 581. CrossrefGoogle Scholar16. RAMMELKAMP CH: A method for determining the concentration of penicillin in body fluids and exudates, Proc. Soc. Exper. Biol. and Med., 1942, li, 95. CrossrefGoogle Scholar17. KIRBYRANTZ WMLA: Methods of measuring penicillin concentrations in body fluids, Jr. Bact., 1944, xlviii, 603. CrossrefGoogle Scholar18. RAMMELKAMPKEEFER CHCS: The absorption, excretion and distribution of penicillin, Jr. Clin. Invest., 1943, xxii, 425. CrossrefGoogle Scholar19. MCDERMOTTNELSON WRA: The transfer of penicillin into the cerebrospinal fluid following parenteral administration, Am. Jr. Syph., Gonor. and Ven. Dis., 1945, xxix, 403. Google Scholar20. STRUBLEBELLOWS GCJG: Studies on the destruction of penicillin in the eye and its chemical application, Jr. Am. Med. Assoc., 1944, cxxv, 685. CrossrefGoogle Scholar21. COOKEGOLDRING JVD: The concentrations of penicillin in various body fluids during penicillin therapy, Jr. Am. Med. Assoc., 1945, cxxvii, 80. CrossrefGoogle Scholar22. CUTTINGLUDUENAFIESEELLIOTTFIELD WCFPMHWJ: Distribution and fate of penicillin in the body, Jr. Pharmacol. and Exper. Therap., 1945, lxxxv, 36. Google Scholar23. RICHARDSONMILLERSCHUMACHERJAMBORPANSYLAPEDES APICWFD: Physiological disposition of penicillin G and K in dogs, Proc. Soc. Exper. Biol. and Med., 1946, lxiii, 514. CrossrefGoogle Scholar24. CLOWESKELTCH GHAK: On comparative results obtained with crystalline penicillins F, G, K and X when exposed in the Warburg apparatus to the action of liver and other mammalian tissues, blood and blood fractions, and bacteria. Reported at Antibiotics Study Section Meeting, Washington, D. C., January 31 and February 1, 1947; Supplementary report on the comparative results obtained with crystalline penicillins, particularly G and K, when exposed in the Warburg apparatus to the action of normal and preheated rat liver slices, hemogenized liver, and bacteria; also normal liver with enzyme-suppressing chemical agents. Reported at Antibiotics Study Section Meeting, Washington, D. C., January 31 and February 1, 1945. Google Scholar25. TEPPERMANRAKIETENVALLEYLYON JNGEW: Inactivation of penicillins G and K by liver and kidney, Science, 1947, cv, 18. CrossrefGoogle Scholar26. JAWETZ E: Dynamics of the action of penicillin in experimental animals. Observations on mice, Arch. Int. Med., 1946, lxxvii, 1-15. CrossrefGoogle Scholar27. MAGNUSONEAGLEFLEISCHMAN HJHR: Minimum infectious inoculum of T. pallidum (Nichols strain) and a consideration of its rate of multiplication in vivo, Am. Jr. Syph., Gonor. and Ven. Dis., 1948, xxxii, 1-18. Google Scholar28. EAGLEMUSSELMAN HAD: The kinetics of the bactericidal action of penicillin (streptococci, staphylococci, pneumococci and spirochetes). I. The effect of the concentration of penicillin, and a paradoxical zone reaction. In preparation. Google Scholar29. EAGLEMAGNUSONFLEISCHMAN HHJR: The effect of the method of administration on the therapeutic efficacy of sodium penicillin in experimental syphilis, Bull. Johns Hopkins Hosp., 1946, lxxix, 168-189. Google Scholar30. WINSOR CP: Personal communication. Google Scholar31. RAMMELKAMPKIRBY CHWM: Factors determining the dosage of penicillin in the treatment of infections, Bull. New York Acad. Med., 1945, xxi, 656-672. Google Scholar32. PARKERMARSH RFHC: The action of penicillin on staphylococcus, Jr. Bact., 1946, lii, 181-186. CrossrefGoogle Scholar33. BIGGER JW: Treatment of staphylococcal infections with penicillin, Lancet, 1944, ii, 497. CrossrefGoogle Scholar34. FLEMINGYOUNGSUCHETROWE AMYJAJ: Penicillin content of blood serum after various doses of penicillin by various routes, Lancet, 1944, ii, 621-624. CrossrefGoogle Scholar35. EAGLE H: The duration of penicillin action in vivo, and a consideration of the optimum time-dose relationship, in preparation. Google Scholar36. ARNOLDMAHONEY RCJF: Personal communication. Google Scholar37. EAGLETUCKER HHA: The effect of serum on the in vitro bioassay of penicillin, 1948, in preparation. Google Scholar38. TILLETTCAMBIERMCCORMACK WSMJJE: The treatment of lobar pneumonia and pneumococcal empyema with penicillin, Bull. N. Y. Acad. Med., 1944, xx, 142-178. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Presented in part at the annual meeting of The American College of Physicians, April 29, 1947, at Chicago, Illinois.From the Laboratory of Experimental Therapeutics of the U. S. Public Health Service and The Johns Hopkins School of Hygiene and Public Health, Baltimore 5, Maryland. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAntibiotics and traumaSusceptibility and resistance emergence studies with macrolidesMouse Subcutaneous Cotton Thread ModelDoes the Degree of Penicillin Susceptibility of Streptococcus pneumoniae Affect the Bactericidal Activity of Co-Amoxiclav Versus Oral Cephalosporins at Physiological Concentrations? 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MUSSELMANEffect of schedule of administration on the therapeutic efficacy of penicillinÜber die Wirkungsweise von Dibromsalicyl bei StaphylokokkenThe Role of Penicillin in Obstetrics**Presented, by invitation, at the Fifty-Ninth Annual Meeting of the American Association of Obstetricians, Gynecologists and Abdominal Surgeons, Hot Springs, Va., September 9 to 11, 1948.Recent Advances in the Chemotherapy of Surgical InfectionsSyphilisSerum Concentration Following the Oral Administration of Crystalline Procaine Penicillin G and Crystalline Sodium Penicillin G*Serum Concentrations Following Five Treatment Schedules with Procaine Penicillin in Oil with Aluminum Monostearate**Flo-Cillin “96” was supplied by Bristol Laboratories, Inc.Pneumococcal Pneumonia Treated with Aqueous Penicillin at Twelve-Hour IntervalsPenicillin Dosage and Blood LevelsNationwide results in the treatment of early syphilis with penicillin 1 February 1948Volume 28, Issue 2Page: 260-278KeywordsAttentionBloodDrugsHygieneMedical servicesPenicillinPrevention, policy, and public healthResearch laboratories ePublished: 1 December 2008 Issue Published: 1 February 1948 PDF downloadLoading ...

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