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Cited by 443

The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.

Colistin in the 21st century

Open access
Nation, Roger L, Li, Jian·2009·Current Opinion in Infectious Diseases

Abstract

PURPOSE OF REVIEW: Colistin is a 50-year-old antibiotic that is being used increasingly as a 'last-line' therapy to treat infections caused by multidrug-resistant Gram-negative bacteria, when essentially no other options are available. Despite its age, or because of its age, there has been a dearth of knowledge on its pharmacological and microbiological properties. This review focuses on recent studies aimed at optimizing the clinical use of this old antibiotic. RECENT FINDINGS: A number of factors, including the diversity in the pharmaceutical products available, have hindered the optimal use of colistin. Recent advances in understanding of the pharmacokinetics and pharmacodynamics of colistin, and the emerging knowledge on the relationship between the pharmacokinetics and pharmacodynamics, provide a solid base for optimization of dosage regimens. The potential for nephrotoxicity has been a lingering concern, but recent studies provide useful new information on the incidence, severity and reversibility of this adverse effect. Recent approaches to the use of other antibiotics in combination with colistin hold promise for increased antibacterial efficacy with less potential for emergence of resistance. SUMMARY: Because few, if any, new antibiotics with activity against multidrug-resistant Gram-negative bacteria will be available within the next several years, it is essential that colistin is used in ways that maximize its antibacterial efficacy and minimize toxicity and development of resistance. Recent developments have improved use of colistin in the 21st century.

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Metadata

Authors
Nation, R. L., & Li, J.
Venue
Current Opinion in Infectious Diseases
Published
2009-12
Volume
22
Issue
6
Pages
535-543
ISSN
0951-7375 (ISSN-L)
OpenAlex
W1967459325
Cited by
443
References
58
FWCI
7.45
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Colistin in the 21st century. https://app.cochat.ai/papers/10.1097/qco.0b013e328332e672
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Nation, R. L., & Li, J. (2009). Colistin in the 21st century. Current Opinion in Infectious Diseases. https://doi.org/10.1097/qco.0b013e328332e672

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