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The feature to watch for is an
increasing steepness to the slope of selection curves as the drug concentration gets high.
You see that this is true for the two examples shown (panel A is erythromycin treatment of
S. aureus (solid) and M. smegmatis (open); panel B is penicillin treatment
of the same two organisms). We emphasize that increasing steepness does not always occur
and that for many cases MPC is not below the maximum serum level. Thus being able to dose
above MPC may be an unusual situation. That would mean that combination therapy would be
required for most pathogens. |