Penetration of Antibiotics into Vegetation of Heart Valves: A Mathematical Model
作者:
Robert H.K. Eng,
Peter Parken,
Flor Tecson-Tumang,
期刊:
Chemotherapy
(Karger Available online 1982)
卷期:
Volume 28,
issue 6
页码: 421-427
ISSN:0009-3157
年代: 1982
DOI:10.1159/000238133
出版商: S. Karger AG
关键词: Antibiotic tissue levels;Antibiotic penetration;Endocarditis;Heart valve vegetation;Computer model
数据来源: Karger
摘要:
The effect of vegetation size upon the concentration of antibiotic within various points of a fibrin-clot heart valve vegetation such as ones found in bacterial endocarditis was examined. A mathematical model based upon Fick’s second law of diffusion was developed and solved on a PDP-11 computer. The antibiotic was assumed to have a half-life of 30 min and intermittently injected intravenously every 4 h. After 5 simulated antibiotic doses, peak and trough levels of the antibiotic near the center of the vegetations of sizes 0.5, 1.0, 2.0 cm were, respectively, 37 and 3%, 22 and 15%, and 18 and 18% of the free serum antibiotic concentration. This model can be used to estimate antibiotic levels in different areas of a valvular vegetatio
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