RT Book, Section A1 WISKIRCHEN, DORA E. A1 KEEL-JAYAKUMAR, REBECCA A. A1 NICOLAU, DAVID P. A2 Cohen, Henry SR Print(0) ID 1112256765 T1 Continuous and Intermittent Infusion Beta-Lactam Antibiotics T2 Casebook in Clinical Pharmacokinetics and Drug Dosing YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071628358 LK accesspharmacy.mhmedical.com/content.aspx?aid=1112256765 RD 2024/04/24 AB As a class, beta-lactam antibiotics are a mainstay of therapy and are recommended for nearly all infection types in clinical practice guidelines1, 2, 3, 4, 5, and 6, often as first-line agents. Overall, they are a broad class of antibiotics and consist of penicillins, cephalosporins, monobactams, and carbapenems. Beta-lactams exhibit bactericidal activity by binding to penicillin-binding proteins and, ultimately, inhibiting cell wall synthesis. Since the discovery of penicillin, it has been known that prolonging the infusion duration (originally done as a continuous infusion) or more frequent dosing resulted in improved outcomes7 and 8; however, the utilization of prolonged or continuous infusion has remained a matter of debate and much research has been undertaken to understand and justify these dosing strategies.