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[诺氟沙星在附睾组织中的扩散]

[Diffusion of norfloxacin in epididymal tissue].

作者信息

Blondin C, Costa P, Bressolle F, Galtier M

机构信息

Laboratoire de Pharmacocinétique, CHRU, Nîmes.

出版信息

Pathol Biol (Paris). 1991 May;39(5):520-3.

PMID:1881687
Abstract

Norfloxacin, a "second generation" compound of the quinolone group, was administered orally, before surgery, every 12 h during successive three-day periods at dose of 400 mg to ten patients hospitalized for prostatic adenoma or for prostatic cancer. On the day of surgery, a 400 mg-last dose was administered. Unchanged norfloxacin was assayed by high performance liquid chromatography with fluorescence detection. The Cmin value was 1.2 +/- 0.77 mg/l. Concurrent norfloxacin concentrations in plasma and epididymal tissue (left and right) were determined, about 4 h after the last drug intake, the epididymal level was 3.4 +/- 1.9 micrograms/g. This value was above the MIC90 for most sensitive organisms. The ratio (+/- SD) of drug concentration in epididymal tissue and in plasma was 3. 74 +/- 2.10 (range 1.66-10.2). The epididymal level of norfloxacin was strongly correlated with, area under curve (p less than 0.001) and plasma concentration (p less than 0.01).

摘要

诺氟沙星是喹诺酮类的“第二代”化合物,对10例因前列腺腺瘤或前列腺癌住院的患者,在手术前连续三天每天两次口服400mg该药。手术当天给予最后一剂400mg。采用荧光检测高效液相色谱法测定未代谢的诺氟沙星。Cmin值为1.2±0.77mg/L。在最后一次服药约4小时后,测定血浆和附睾组织(左右两侧)中诺氟沙星的浓度,附睾组织中的浓度为3.4±1.9μg/g。该值高于大多数敏感菌的MIC90。附睾组织与血浆中药物浓度之比(±标准差)为3.74±2.10(范围1.66 - 10.2)。诺氟沙星在附睾组织中的水平与曲线下面积(p<0.001)和血浆浓度(p<0.01)密切相关。

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