Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-12-01T06:57:21.489Z Has data issue: false hasContentIssue false

Clinical Pharmacology of Antibiotics: Do Antibiotics Interfere with Host/Bacterial Interaction?

Published online by Cambridge University Press:  02 January 2015

Atef M. Shibl*
Affiliation:
University of California Medical School, San Francisco General Hospital, San Francisco, California
*
The Medical Service, Room 5 H 22, San Francisco General Hospital, San Francisco, CA 94110

Extract

Antibiotics exert a number of effects on bacteria other than simply killing them or inhibiting their growth. Increasing evidence that exposure of bacteria to antibiotics induces profound alterations in the interaction between bacteria and host defense has been noted. The effect of antibiotics on polymorphonuclear leukocytes and the immune specific response of mononuclear cells is reviewed. An understanding of such effects would allow a more rational application of antibiotics, as well as provide direction in the development of new antibiotics that have both specific antibacterial action and positive effects on host defense mechanisms.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Lorian, V: Effects of subminimum inhibitory concentrations of antibiotics on bacteria, in Lorian, V (ed), Antibiotics in Laboratory Medicine Baltimore, Williams & Wilkins, 1980, pp 342408.Google Scholar
2.Shibl, A: Effect of antibiotics on production of enzymes and toxins by microorganisms. Rev Infect Dis 1983; 5:865875.CrossRefGoogle ScholarPubMed
3.Shibl, A: Effect of antibiotics on adherence of microorganisms to epithelial cell surfaces. Rev Infect Dis 1985; 7:5165.CrossRefGoogle ScholarPubMed
4.Mandell, LA: Effects of antimicrobial function of the polymorphonuclear leukocyte. Rev Infect Dis 1982; 4:683697.CrossRefGoogle ScholarPubMed
5.McDonald, PJ, Wetherall, BL, Pruul, H: Post-antibiotic leukocyte enhancement—Increased susceptibility of bacteria pretreated with antibiotics to activity of leukocytes. Rev Infect Dis 1981; 3:3844.CrossRefGoogle Scholar
6.Gemmell, CG: Potentiation of phagocytosis of pathogenic bacteria by exposure to low concentration of antibiotics. J Ant Chemother 1984; 13:407409.CrossRefGoogle Scholar
7.Reymann, MT, Bradac, JA, Cobbs, CG, et al: Correlation of aminoglycoside dosages with serum concentrations during therapy of serious Gram-negative bacillary disease. Antimicrob Agents Chemother 1979; 16:353361.CrossRefGoogle ScholarPubMed
8.Ben Redjeb, S, Slim, A, Horchani, A, et al: Effects often milligrams of ampicillin per day on urinary tract infections. Antimicrob Agents Chemother 1982; 22:10841086.CrossRefGoogle Scholar