Principles of Antibacterial Chemotherapy The choice of an antibacterial compound for a particular patient and a specific infection involves more than just a knowledge of the agent's pharmacokinetic profile and in vitro activity. The basic tenets of chemotherapy, to be elaborated below, include the following: When appropriate, material containing the infecting organism(s) should be obtained before the start of treatment so that presumptive identification can be made by microscopic examination of stained specimens and the organism can be grown for definitive identification and susceptibility testing. Awareness of local susceptibility patterns is useful when the patient is treated empirically. .