Linezolid penetration into osteo-articular tissues

被引:94
作者
Rana, B
Butcher, I
Grigoris, P
Murnaghan, C
Seaton, RA
Tobin, CM
机构
[1] Univ Glasgow, Western Infirm, Dept Orthopaed, Glasgow G11 6NT, Lanark, Scotland
[2] Univ Glasgow, Western Infirm, Dept Microbiol, Glasgow G11 6NT, Lanark, Scotland
[3] Univ Glasgow, Western Infirm, Dept Infect Dis, Glasgow G11 6NT, Lanark, Scotland
[4] Gartnavel Royal Hosp, Glasgow G11 6NT, Lanark, Scotland
[5] Southmead Gen Hosp, Dept Microbiol, Bristol Ctr Antimicrobial Res & Evaluat, Bristol BS10 5NB, Avon, England
关键词
linezolid; oxazolidinone; bone and joint infection; osteomyelitis; osteo-articular tissue; pharmacokinetics;
D O I
10.1093/jac/dkf207
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Penetration of linezolid into osteo-articular tissue and fluid was studied in 10 patients undergoing primary total knee replacement. Linezolid 600 mg 12 hourly was given orally over the 48 h before operation and intravenously 1 h before induction of anaesthesia. Mean concentrations of linezolid at 90 min after the final dose, in serum, synovial fluid, synovium, muscle and cancellous bone, assayed by HPLC, were at least twice the MIC90 for staphylococci and streptococci. The concentrations obtained indicate good penetration of this antibiotic and support its use in the management of multidrug-resistant Gram-positive bone, joint and deep-seated soft-tissue infections.
引用
收藏
页码:747 / 750
页数:4
相关论文
共 10 条
[1]  
Andreae J.V., 1999, CLIN ANTIMICROBIAL A, P65
[2]  
BASSETTI M, 2000, P 40 INT C ANT AG CH, P487
[3]   Linezolid and reversible myelosuppression [J].
Green, SL ;
Maddox, LC ;
Huttenbach, ED .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (10) :1291-1291
[4]   Activity of linezolid against multi-resistant Gram-positive bacteria from diverse hospitals in the United Kingdom [J].
Johnson, AP ;
Warner, M ;
Livermore, DM .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2000, 45 (02) :225-230
[5]   Comparison of length of hospital stay for patients with known or suspected methicillin-resistant Staphylococcus species infections treated with linezolid or vancomycin:: A randomized, multicenter trial [J].
Li, ZM ;
Willke, RJ ;
Pinto, LA ;
Rittenhouse, BE ;
Rybak, MJ ;
Pleil, AM ;
Crouch, CW ;
Hafkin, B ;
Glick, HA .
PHARMACOTHERAPY, 2001, 21 (03) :263-274
[6]   Penetration of linezolid into bone, fat, muscle and haematoma of patients undergoing routine hip replacement [J].
Lovering, AM ;
Zhang, J ;
Bannister, GC ;
Lankester, BJA ;
Brown, JHM ;
Narendra, G ;
MacGowan, AP .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2002, 50 (01) :73-77
[7]  
MOISE PA, 2000, P 40 INT C ANT AG CH, P487
[8]   In vitro activities of daptomycin, vancomycin, linezolid, and quinupristin-dalfopristin against staphylococci and enterococci, including vancomycin-intermediate and -resistant strains [J].
Rybak, MJ ;
Hershberger, E ;
Moldovan, T ;
Grucz, RG .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2000, 44 (04) :1062-1066
[9]   Mechanism of action of oxazolidinones: Effects of linezolid and eperezolid on translation reactions [J].
Shinabarger, DL ;
Marotti, KR ;
Murray, RW ;
Lin, AH ;
Melchior, EP ;
Swaney, SM ;
Dunyak, DS ;
Demyan, WF ;
Buysse, JM .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1997, 41 (10) :2132-2136
[10]   A simple, isocratic high-performance liquid chromatography assay for linezolid in human serum [J].
Tobin, CM ;
Sunderland, J ;
White, LO ;
MacGowan, AP .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2001, 48 (05) :605-608