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土霉素在患有与感染相关的临床子宫炎的奶牛肌肉注射后的药代动力学

Oxytetracycline Pharmacokinetics After Intramuscular Administration in Cows with Clinical Metritis Associated with Infection.

作者信息

Mileva Rositsa, Karadaev Manol, Fasulkov Ivan, Petkova Tsvetelina, Rusenova Nikolina, Vasilev Nasko, Milanova Aneliya

机构信息

Department of Pharmacology, Animal Physiology and Physiological Chemistry, Faculty of Veterinary Medicine, Trakia University, 6000 Stara Zagora, Bulgaria.

Department of Obstetrics, Reproduction and Reproductive Disorders, Faculty of Veterinary Medicine, Trakia University, 6000 Stara Zagora, Bulgaria.

出版信息

Antibiotics (Basel). 2020 Jul 9;9(7):392. doi: 10.3390/antibiotics9070392.

Abstract

Systemic therapy with oxytetracycline is often used for treatment of clinical metritis although data about its penetration into the uterus and uterine secretion are lacking. Uterine secretions and milk from six cows with clinical metritis were collected for microbiological assay. The animals were treated intramuscularly with long-acting oxytetracycline (20 mg/kg) and samples of plasma, milk and uterine secretions were collected for determination of the antibiotic concentrations by HPLC-PDA analysis. Pharmacokinetics of the antibiotic and in silico prediction of its penetration into the uterus were described. with MIC values of 16-64 µg mL was isolated ( of cows = 4) from uterine secretions. Oxytetracycline showed fast absorption and penetration in the uterine secretions and milk. No change of withdrawal time for milk was necessitated in cows with clinical metritis. Maximum levels in uterine secretions and predicted concentrations of oxytetracycline in the uterus were lower than MIC values. Systemic administration of long-acting oxytetracycline did not guarantee clinical cure and was not a suitable choice for treatment of clinical metritis associated with . The appropriate approach to antibiotic treatment of uterine infections of cows requires knowledge on penetration of the antibiotics at the site of infection and sensitivity of pathogens.

摘要

土霉素的全身治疗常用于临床子宫内膜炎的治疗,尽管缺乏关于其在子宫和子宫分泌物中渗透情况的数据。收集了六头患有临床子宫内膜炎奶牛的子宫分泌物和乳汁进行微生物检测。给这些动物肌肉注射长效土霉素(20毫克/千克),并采集血浆、乳汁和子宫分泌物样本,通过高效液相色谱-光电二极管阵列检测法分析抗生素浓度。描述了该抗生素的药代动力学及其在子宫内渗透的计算机模拟预测。从子宫分泌物中分离出了对土霉素最低抑菌浓度值为16 - 64微克/毫升的菌株(4头奶牛)。土霉素在子宫分泌物和乳汁中显示出快速吸收和渗透。患有临床子宫内膜炎的奶牛无需改变乳汁的停药时间。子宫分泌物中的最高浓度以及子宫中土霉素的预测浓度均低于最低抑菌浓度值。全身注射长效土霉素不能保证临床治愈,不是治疗与……相关的临床子宫内膜炎的合适选择。对奶牛子宫感染进行抗生素治疗的合适方法需要了解抗生素在感染部位的渗透情况以及病原体的敏感性。

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