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Reduced Itraconazole Concentration and Durations Are Successful in Treating Batrachochytrium dendrobatidis Infection in Amphibians
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Short-course therapy for severe infections.

Ethan Rubinstein1, Yoav Keynan

  • 1Section of Infectious Diseases, Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. Ethan.Rubinstein@med.umanitoba.ca

International Journal of Antimicrobial Agents
|May 28, 2013
PubMed
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Short antimicrobial therapy is ideal for most infections, but not for complex cases like abscesses or immunodeficiencies. Bactericidal antibiotics are key for effective short-course treatment, reducing resistance and costs.

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Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Microbiology

Background:

  • Short-course antimicrobial therapy is a desirable goal in clinical practice.
  • Treatment duration depends on host factors, infection characteristics, and administered agents.
  • Certain conditions preclude short-course therapy, including immunodeficiencies, chronic infections, abscesses, and foreign body-associated infections.

Purpose of the Study:

  • To define the criteria and applicability of short-course antimicrobial therapy.
  • To identify infections amenable to short-course treatment.
  • To highlight the benefits of reduced antimicrobial exposure.

Main Methods:

  • Review of clinical guidelines and evidence regarding antimicrobial treatment durations.
  • Analysis of factors influencing treatment success with short-course regimens.
  • Identification of specific severe infections suitable for short-course antimicrobial therapy.

Main Results:

  • Bactericidal antibiotics are essential for successful short-course therapy.
  • Severe infections like primary bacteremia, pneumonia-related bacteremia, acute pyelonephritis, and meningitis can often be treated with short courses.
  • Conditions such as immunodeficiencies, chronic infections, abscesses, and foreign body infections require longer treatment durations.

Conclusions:

  • Short-course antimicrobial therapy offers significant benefits, including reduced antimicrobial resistance, lower healthcare costs, and improved patient management.
  • Careful patient and infection assessment is crucial to determine the appropriateness of short-course antimicrobial treatment.
  • The use of bactericidal agents is paramount for the success of short-course antimicrobial regimens.