Related Experiment Video
Updated: Mar 20, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Rational use of antibiotics]
1Johanniterkliniken Bonn, Internistische Intensivmedizin und Infektiologie, Johanniter-Krankenhaus, Bonn, Deutschland. peter.walger@johanniter-kliniken.de.
Rational antibiotic use is crucial due to rising antimicrobial resistance and fewer new drug developments. Antibiotic stewardship programs aim to preserve antibiotic effectiveness for successful patient treatment while minimizing toxicity and resistance. This article outlines rational antibiotic therapy principles.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- High prevalence of drug-resistant pathogens like methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE).
- Threatening spread of resistance in Gram-negative bacteria and selection of Clostridium difficile.
- Significant reduction in the development of new antibiotic agents.
Purpose of the Study:
- To present the principles of rational antibiotic therapy.
- To emphasize the importance of antibiotic stewardship programs.
- To ensure effective treatment of bacterial infections while minimizing adverse effects.
Main Methods:
- Review of current literature on antibiotic resistance and stewardship.
- Analysis of factors influencing antibiotic effectiveness and patient outcomes.
- Discussion of strategies for optimizing antibiotic selection and usage.
Main Results:
- Rational antibiotic therapy is essential for combating antimicrobial resistance.
- Antibiotic stewardship programs play a key role in preserving antibiotic efficacy.
- Minimizing toxicity and resistance is critical for optimal clinical outcomes.
Conclusions:
- Implementing rational antibiotic therapy principles is vital for global health.
- Continued efforts in antibiotic stewardship are necessary to address the challenge of resistance.
- Balancing effective treatment with the reduction of resistance and toxicity is achievable through rational use.
Related Concept Videos
Antibiotic Selection
Clinical Significance of Antibiotic Resistance
Combined Effects of Drugs: Synergism
Such synergistic combinations...
Mechanism of Antibiotic Resistance in MRSA
Biological Methods for Microbial Control
Rational Dosage Regimen: Maintenance Dose and Loading Dose
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...

