Biliary Excretion of Cefuroxime
作者:
J.M. Brogard,
M. Pinget,
J.P. Arnaud,
M. Dorner,
J. Lavillaureix,
期刊:
Chemotherapy
(Karger Available online 1981)
卷期:
Volume 27,
issue 1
页码: 18-28
ISSN:0009-3157
年代: 1981
DOI:10.1159/000237950
出版商: S. Karger AG
关键词: Cefuroxime;Biliary excretion;Liver perfusion;Duodenal intubation;T-tube drainage;Peroperative bile sampling
数据来源: Karger
摘要:
The biliary excretion of cefuroxime was studied experimentally, using a preparation of isolated rabbit liver (n = 5) perfused in vitro during 3 h; 0.92% of the cefuroxime (10 mg) added to the circulating blood was found in the bile, while peak antibiotic activity reached a mean value of 8.0 ± 1.1 μg/ml. In man, 1 h after a single intravenous injection of cefuroxime (0.5 g), a maximum concentration of 4.0 ± 1.6 μg/ml was found in the duodenal aspiration fluid collected from 5 healthy subjects. In 10 patients with T-tube drainage, a mean biliary peak of 10.3 ± 2.4 μg/ml was observed 2 h after intravenous injection of the same dose; the biliary excretion of cefuroxime during the 12-hour experiment corresponded to 0.13% of the administered dose. Assays performed during cholecystectomy in 10 patients 1 h after cefuroxime intravenous injection of 0.5 g showed concentrations of 11.9 ± 0.8 μg/ml in the serum, 12.0 ± 1.5 μg/ml in the common duct bile and 7.4 ± 1.1 μg/ml in the gallbladder bile. These results were compared with those observed after administration of 11 other β-lactam antibiotics in identical experimental and clinica
点击下载:
PDF
(2956KB)
返 回