Nye K, O'Neill P, Andrews J M, Wise R
Department of Medical Microbiology, Dudley Road Hospital, Birmingham, UK.
J Antimicrob Chemother. 1990 May;25(5):831-5. doi: 10.1093/jac/25.5.831.
The pharmacokinetics of cefprozil after a single 500 mg oral dose were studied, measuring plasma, inflammatory fluid and urine concentrations. Mean peak plasma concentrations of 9.6 mg/l (measured by bioassay) were achieved at a mean time of 1.9 h after administration. The mean plasma elimination half-life was 1.4 h; 63.6% of the dose was eliminated in urine by 24 h. Mean peak levels in inflammatory fluid reached 4.9 mg/l after 3.5 h. Mean plasma levels remained 2 mg/l for almost 5 h post dose and more than 6 h in inflammatory fluid. These data suggest that infections caused by highly susceptible pathogens might respond to a twice daily dosing regimen and less susceptible pathogens might require a higher dose or more frequent administration.
研究了单次口服500毫克头孢丙烯后的药代动力学,测定了血浆、炎性液和尿液浓度。给药后平均1.9小时达到平均血浆峰浓度9.6毫克/升(通过生物测定法测量)。平均血浆消除半衰期为1.4小时;24小时内63.6%的剂量经尿液排出。炎性液中的平均峰浓度在3.5小时后达到4.9毫克/升。给药后血浆平均浓度在近5小时内保持在2毫克/升,在炎性液中保持超过6小时。这些数据表明,由高度敏感病原体引起的感染可能对每日两次给药方案有反应,而较不敏感的病原体可能需要更高剂量或更频繁给药。