To address emerging infections, we must invest in enduring systems: The kinetics and dynamics of health systems strengthening

Clin Pharmacol Ther. 2015 Oct;98(4):362-4. doi: 10.1002/cpt.182. Epub 2015 Aug 18.

Abstract

Clinical pharmacology uses foundational principles of pharmacokinetics (PK) and pharmacodynamics (PD) to address medication use spanning a continuum from molecules to the masses. In the realm of infectious diseases, PK/PD attributes are considered especially important, because subtherapeutic dosing of antibiotics has been associated with poorer clinical outcomes in patients and increased incidences of drug resistance in populations. In consideration of these PK/PD principles, we will describe the analogous relationship between health systems strengthening, including for educating healthcare providers about emerging infections, and the tenets of therapeutic drug monitoring.

MeSH terms

  • Anti-Infective Agents / adverse effects
  • Anti-Infective Agents / economics
  • Anti-Infective Agents / pharmacokinetics
  • Anti-Infective Agents / therapeutic use*
  • Communicable Disease Control / economics
  • Communicable Disease Control / trends*
  • Communicable Diseases, Emerging / diagnosis
  • Communicable Diseases, Emerging / economics
  • Communicable Diseases, Emerging / epidemiology
  • Communicable Diseases, Emerging / prevention & control*
  • Delivery of Health Care / economics
  • Delivery of Health Care / trends*
  • Disease Outbreaks / economics
  • Disease Outbreaks / prevention & control*
  • Drug Monitoring
  • Drug Resistance
  • Forecasting
  • Health Care Costs / trends
  • Humans
  • Time Factors
  • Treatment Outcome

Substances

  • Anti-Infective Agents