Wittmann D H, Schassan H H, Welter J, Seidel H
MMW Munch Med Wochenschr. 1980 Apr 25;122(17):637-41.
After 2 g as a bolus injection the concentration of Cefotaxime was determined in serum, bone, tissue fluid, peritoneal exudate and bile under clinical conditions in 43 patients with a mean age of 61 years. Pharmacokinetic constants were calculated using a modified two compartment model. The basis for these calculations was a mean serum curve from 299 serum samples. The geometric mean and deviation factors of time-dependent values in tissue and tissue fluid are presented. The results are compared to the minimal inhibitory concentrations of pathogenic bacteria. The clinical success in 121 severe infections at a dose of 2 g every 12 hours support the theoretical results of this study.
对43名平均年龄为61岁的患者进行大剂量注射2克头孢噻肟后,在临床条件下测定了血清、骨骼、组织液、腹腔渗出液和胆汁中的头孢噻肟浓度。使用改良的二室模型计算药代动力学常数。这些计算的基础是来自299份血清样本的平均血清曲线。给出了组织和组织液中时间依赖性值的几何平均值和偏差因子。将结果与病原菌的最低抑菌浓度进行比较。每12小时2克剂量治疗121例严重感染的临床成功支持了本研究的理论结果。