Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.
J Vet Intern Med. 2024 Sep-Oct;38(5):2814-2822. doi: 10.1111/jvim.17155. Epub 2024 Aug 12.
Pharmacological activity of intramammary drugs depends on adequate drug concentrations within the cistern, but sampling is often limited. Insight into the active drug concentration within the mammary cistern may assist in determining effective and appropriate therapeutic decisions for cows being treated for mastitis.
Evaluate the disposition of ceftiofur hydrochloride administered intramammary in diseased and nondiseased quarters. Whole milk and ultrafiltrate sampling techniques were compared.
Ten mature, late lactation Holstein (n = 9) and Jersey (n = 1) dairy cows (422-670 kg) with naturally occurring clinical mastitis, producing between 1.4 and 15.9 kg/day of milk.
Ultrafiltration probes were placed in both mastitic and healthy quarters. Each quarter was treated with 2 doses of 125 mg ceftiofur hydrochloride suspension, and whole milk and milk ultrafiltrate samples were collected. Ceftiofur concentrations in composite whole milk and milk ultrafiltrate were analyzed.
The maximum concentration of ceftiofur was higher in ultrafiltrate samples, but no differences were identified in healthy or mastitic quarters. The use of ultrafiltration probes provides a novel technique for free drug concentrations within the mastitic and healthy bovine mammary gland.
Significant inter- and intracow variability and lower daily milk weights may overestimate ceftiofur concentrations available within the cistern. The pharmacokinetic (PK) parameters reported in milk ultrafiltrate will help establish a link between the PK and the corresponding drug effect, potentially providing a meaningful rationale for the selection of a safe and effective dose in cows with mastitis.
乳腺内药物的药理活性取决于腔内的药物浓度是否足够,但采样通常受到限制。了解乳腺腔内的有效药物浓度有助于确定正在接受乳腺炎治疗的奶牛的有效和适当的治疗决策。
评估在患病和非患病乳区中给予盐酸头孢噻呋的分布情况。比较了全乳和超滤取样技术。
10 头成熟、泌乳后期的荷斯坦(n = 9)和泽西(n = 1)奶牛(422-670 kg),患有自然发生的临床乳腺炎,产奶量在 1.4 至 15.9 kg/天之间。
在患有乳腺炎和健康的乳区都放置了超滤探头。每个乳区都接受了 2 次 125 mg 盐酸头孢噻呋混悬液的治疗,并采集了全乳和乳超滤样本。分析了复合全乳和乳超滤中头孢噻呋的浓度。
超滤样本中的头孢噻呋最大浓度较高,但在健康或乳腺炎乳区中未发现差异。超滤探头的使用为乳腺炎和健康牛乳腺内游离药物浓度提供了一种新的技术。
牛之间和牛内部的变异性较大,且每日产奶量较低,这可能会高估乳腔内可利用的头孢噻呋浓度。超滤乳中的药代动力学(PK)参数将有助于在乳腺炎奶牛中建立 PK 与相应药物效应之间的联系,这可能为选择安全有效的剂量提供有意义的依据。