An abundance of new antimicrobials have become available in recent yea
rs to combat the growing threat of infectious diseases. Assessment of
the new anti-infectives' place in therapy should involve analysis of t
heir efficacy, safety, and cost relative to similar agents. In this ar
ticle-part one of a two-part series-we summarize information critical
to the evaluation of selected new antibacterials for formulary inclusi
on. Specifically, we review the comparative spectrum of antimicrobial
activity as well as significant differences in the toxicity and pharma
cokinetic profiles between new and older agents. We also provide our a
ssessment of the role of each of these new antibacterials in the manag
ement of infectious diseases. Appropriate use of new broad-spectrum an
tibacterials is crucial to attempts to diminish the impact of infectio
ns and minimize the emergence of drug-resistant pathogens.