RT Journal Article T1 Pharmacodynamics of Simulated Total Versus Free-Drug Serum Concentrations of a Low Versus a High Protein Bound Third-Generation Oral Cephalosporin (Cefpodoxime Versus Cefditoren) Against Streptococcus pneumoniae A1 Echeverría, Olatz A1 Alou Cervera, Luis A1 Sevillano Fernández, David A1 González Hidalgo, Natalia A1 Gómez-Lus Centelles, María Luisa A1 Aguilar, Lorenzo A1 Prieto Prieto, José AB Pharmacodynamic parameters and bactericidal activity against Streptococcus pneumoniae were investigated by simulating total and free serum concentrations of cefpodoxime versus cefditoren. Total drug T>MIC against the penicillin-intermediate (PISP) and resistant (PRSP) strains were 70.6% and 42.9% for cefpodoxime, and 89.6% and 62.5% for cefditoren, respectively. Comparing activity of free versus total cefpodoxime, there were reductions of 8.5% and 19.1% in T>MIC, related to bactericidal activity reductions from approximately 4.5 to 3 log10, and from 3 to 2.5 log10 against PISP and PRSP, respectively, at 10-12h. For cefditoren, reductions of 45.4% and 100% in T>MIC, were related to bactericidal activity reductions from approximately 5.5 to 2-2.5 log10 and from approximately 2.5 to 1.5 log10 against PISP and PRSP, respectively, at 10-12h. Higher differences in activity were found against the less resistant strains when comparing total versus free-drug profile. PB Taylor & Francis SN 1120-009X YR 2007 FD 2007-06 LK https://hdl.handle.net/20.500.14352/107167 UL https://hdl.handle.net/20.500.14352/107167 LA eng NO Echeverria O, Alou L, Sevillano D, Gonzalez N, Gomez-Lus ML, Aguilar L, Prieto J. Pharmacodynamics of simulated total versus free-drug serum concentrations of a low versus a high protein bound third-generation oral cephalosporin (Cefpodoxime versus cefditoren) against Streptococcus pneumoniae. J Chemother. 2007 Jun;19(3):288-94. NO Sankyo Pharma GmbH DS Docta Complutense RD 6 abr 2025