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Cited by 834

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Polymyxin B for the treatment of multidrug-resistant pathogens: a critical review

Open access
Zavascki, A. P., Goldani, L. Z., Li, J., Nation, R. L.·2007·Journal of Antimicrobial Chemotherapy

Abstract

Polymyxins have re-emerged in clinical practice owing to the dry antibiotic development pipeline and worldwide increasing prevalence of nosocomial infections caused by multidrug-resistant (MDR) Gram-negative bacteria. Polymyxin B and colistin (polymyxin E) have been ultimately considered as the last-resort treatment of such infections. Microbiological, pharmacokinetic, pharmacodynamic and clinical data available for polymyxin B are reviewed in this paper. Polymyxin B has rapid in vitro bactericidal activity against major MDR Gram-negative bacteria, such as Pseudomonas aeruginosa, Acinetobacter baumannii and Klebsiella pneumoniae. Acquired resistance to this agent is still rare among these pathogens. However, optimized dosage regimens are not known yet. Good clinical outcomes have been observed in the majority of the patients treated with intravenous polymyxin B in recent studies. However, these studies failed to provide definitive conclusions due to limitations of study design and additional clinical trials are required. Although combination therapy may be an attractive option based on some currently available in vitro data, clinical data supporting such recommendations are lacking. Since polymyxins will be increasingly used for the treatment of infections caused by MDR bacteria, clinical pharmacokinetic, pharmacodynamic and toxicodynamic studies underpinning the optimal use of these drugs are urgently required.

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Metadata

Authors
Zavascki, A. P., Goldani, L. Z., Li, J., & Nation, R. L.
Venue
Journal of Antimicrobial Chemotherapy
Published
2007-10-03
Volume
60
Issue
6
Pages
1206-1215
ISSN
  • 0305-7453 (ISSN-L)
  • 1460-2091
OpenAlex
W2107050135
Cited by
834
References
49
FWCI
11.98
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Polymyxin B for the treatment of multidrug-resistant pathogens: a critical review. https://app.cochat.ai/papers/10.1093/jac/dkm357
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Zavascki, A. P., Goldani, L. Z., Li, J., & Nation, R. L. (2007). Polymyxin B for the treatment of multidrug-resistant pathogens: a critical review. Journal of Antimicrobial Chemotherapy. https://doi.org/10.1093/jac/dkm357

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.