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头孢他啶在犬体内的药代动力学研究,该研究采用静脉注射给药,并联合使用 RxActuator Mini-Infuser 输液泵。

Ceftazidime pharmacokinetics in dogs after intravenous injection and delivered with the RxActuator Mini-Infuser infusion pump.

机构信息

College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2022 Sep;32(5):608-615. doi: 10.1111/vec.13205. Epub 2022 May 6.

DOI:10.1111/vec.13205
PMID:35522422
Abstract

OBJECTIVE

To test the feasibility of an SC mini-infusion pump to deliver ceftazidime in dogs and produce plasma concentrations sufficient to reach a therapeutic target for 48 hours.

SETTING

University research laboratory.

ANIMALS

Six healthy Beagle dogs.

INTERVENTIONS

Ceftazidime was administered by 2 routes to 6 healthy Beagle dogs. The first route was an IV bolus injection into a cephalic vein at a dose of 25 mg/kg. Blood samples were collected for 8 hours following injection. The second route was a SC infusion for 48 hours using the RxActuator Mini-Infuser wearable SC constant rate infusion pump. Blood samples were collected for 58 hours following application of the pump. All plasma samples were analyzed by high-pressure liquid chromatography and subject to pharmacokinetic analysis.

MAIN RESULTS

After the IV bolus injection, there was rapid distribution and elimination. The elimination half-life was 0.95 hours, and the clearance was rapid at 0.176 ml/h/kg. After the 48-hour SC infusion, the half-life was slightly shorter, and the clearance was higher. The percent bioavailability from the SC infusion was approximately 72%. The SC infusion maintained plasma concentration near our target of 8 μg/ml for most of the dose interval but slightly lower after 24 hours. The concentrations below the target were attributed to slight drug loss, less than 100% bioavailability, and faster clearance from SC administration.

CONCLUSIONS

This study demonstrated the successful application of the RxActuator Mini-Infuser wearable SC constant rate infusion pump for delivering an antimicrobial needed for serious, and sometimes resistant, infections in dogs.

摘要

目的

测试 SC 迷你输注泵输送头孢他啶在犬体内的可行性,以产生足够的血浆浓度,使药物在 48 小时内达到治疗靶标。

设置

大学研究实验室。

动物

6 只健康比格犬。

干预措施

6 只健康比格犬通过 2 种途径接受头孢他啶治疗。第一种途径是通过头静脉静脉推注 25mg/kg。注射后 8 小时内采集血样。第二种途径是使用 RxActuator Mini-Infuser 可穿戴 SC 恒速输注泵进行 48 小时 SC 输注。应用泵后 58 小时内采集血样。所有血浆样本均采用高效液相色谱法进行分析,并进行药代动力学分析。

主要结果

静脉推注后,药物迅速分布和消除。消除半衰期为 0.95 小时,清除率较快,为 0.176ml/h/kg。48 小时 SC 输注后,半衰期略短,清除率较高。SC 输注的生物利用度约为 72%。SC 输注使血浆浓度在大部分剂量间隔内接近我们 8μg/ml 的靶标,但在 24 小时后略低。低于靶标的浓度归因于药物轻微损失、生物利用度不足 100%以及 SC 给药后清除率加快。

结论

本研究证明了 RxActuator Mini-Infuser 可穿戴 SC 恒速输注泵成功应用于输送犬严重感染(有时对耐药菌感染)所需的抗菌药物。

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