CEFEPIME CONCENTRATIONS IN BRONCHIAL-MUCOSA AND SERUM FOLLOWING A SINGLE 2 GRAM INTRAVENOUS DOSE

被引:23
作者
CHADHA, D [1 ]
WISE, R [1 ]
BALDWIN, DR [1 ]
ANDREWS, JM [1 ]
ASHBY, JP [1 ]
HONEYBOURNE, D [1 ]
机构
[1] DUDLEY RD GEN HOSP,DEPT MED MICROBIOL,BIRMINGHAM B18 7QH,W MIDLANDS,ENGLAND
关键词
D O I
10.1093/jac/25.6.959
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The concentrations of cefepime in bronchial mucosa were measured after intravenous administration of a single 2 g dose in 20 patients undergoing diagnostic fibreoptic bronchoscopy. These concentrations were compared with simultaneous serum concentrations. The mean bronchial mucosal concentration was 24.1 mg/kg (S.D. 17.8 mg/kg) and the mean serum concentration was 40.4 mg/1 (s.d. 28.1 mg/1). The mean percentage penetration was 59.8% (s.d. 12.5%). We conclude that a twice daily dosing of cefepime would be adequate for most respiratory infections although an 8-hourly dose may be necessary in pseudomonal infections. © 1990 The British Society for Antimicrobial Chemotherapy.
引用
收藏
页码:959 / 963
页数:5
相关论文
共 17 条
[1]   INVITRO STUDIES OF BMY-28142, A NEW BROAD-SPECTRUM CEPHALOSPORIN [J].
BODEY, GP ;
HO, DH ;
LEBLANC, B .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1985, 27 (02) :265-269
[2]   EVALUATION OF THE INVITRO ACTIVITY OF BMY-28142, A NEW BROAD-SPECTRUM CEPHALOSPORIN [J].
FUCHS, PC ;
JONES, RN ;
BARRY, AL ;
THORNSBERRY, C .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1985, 27 (05) :679-682
[3]   THE MUCOSAL EPITHELIUM OF THE RESPIRATORY TRACT IN MUCO-PURULENT BRONCHITIS CAUSED BY HAEMOPHILUS-INFLUENZAE [J].
HERS, JFP ;
MULDER, J .
JOURNAL OF PATHOLOGY AND BACTERIOLOGY, 1953, 66 (01) :103-&
[4]   EVALUATION OF THE PENETRATION OF CIPROFLOXACIN AND AMOXYCILLIN INTO THE BRONCHIAL-MUCOSA [J].
HONEYBOURNE, D ;
ANDREWS, JM ;
ASHBY, JP ;
LODWICK, R ;
WISE, R .
THORAX, 1988, 43 (09) :715-719
[5]   COMPARISON OF A NEW CEPHALOSPORIN, BMY 28142, WITH OTHER BROAD-SPECTRUM BETA-LACTAM ANTIBIOTICS [J].
KESSLER, RE ;
BIES, M ;
BUCK, RE ;
CHISHOLM, DR ;
PURSIANO, TA ;
TSAI, YH ;
MISIEK, M ;
PRICE, KE ;
LEITNER, F .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1985, 27 (02) :207-216
[6]   ANTIMICROBIAL ACTIVITIES OF BMY-28142, CEFBUPERAZONE, AND CEFPIRAMIDE COMPARED WITH THOSE OF OTHER CEPHALOSPORINS [J].
KHAN, NJ ;
BIHL, JA ;
SCHELL, RF ;
LEFROCK, JL ;
WEBER, SJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1984, 26 (04) :585-590
[7]   EFFICACY OF BMY-28142 IN EXPERIMENTAL BACTEREMIA AND MENINGITIS CAUSED BY ESCHERICHIA-COLI AND GROUP-B STREPTOCOCCI [J].
KIM, KS ;
BAYER, AS .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1985, 28 (01) :51-54
[8]   PENETRATION OF CEFACLOR INTO BRONCHIAL-MUCOSA [J].
MARLIN, GE ;
NICHOLLS, AJ ;
FUNNELL, GR ;
BRADBURY, R .
THORAX, 1984, 39 (11) :813-817
[9]  
MARLIN GE, 1986, AM REV RESPIR DIS, V134, P1209
[10]  
NEU H C, 1983, Reviews of Infectious Diseases, V5, pS319