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头孢甲肟向烧伤水疱液中的转移

[Transfer of cefmenoxime to burn blister fluids].

作者信息

Nishizaki A, Aoyama H, Koh T, Izawa Y

出版信息

Jpn J Antibiot. 1984 Mar;37(3):295-302.

PMID:6330396
Abstract

Transfer of cefmenoxime (CMX) into the burn blister fluids was studied in 10 burned patients with 2 administrated doses (25, 50 mg/kg). CMX concentrations in serum and burn blister fluid after 1 hour intravenous drip infusion were measured using Proteus mirabilis ATCC 21100 as the test organism grown in the DST agar medium. In the case of CMX 25 mg/kg dose, the peak serum concentration was observed 61.5 micrograms/ml at 1 hour, while the peak burn blister fluid concentration was observed 15.2 micrograms/ml at 2 hours. Pharmacokinetic parameters of serum concentration calculated were 1.02 hours as half-life (beta) and 0.42 L/kg as distribution volume, respectively. In the case of CMX 50 mg/kg dose, the peak serum concentration was observed 122.0 micrograms/ml at 1 hour and the peak burn blister fluid concentration was observed 40.8 micrograms/ml at 2 hours. Pharmacokinetic parameters of serum concentration calculated were 1.27 hours as half-life (beta) and 0.55 L/kg as distribution volume. From this study, the dose dependency between 25 mg/kg dose and 50 mg/kg dose in serum and in burn blister fluid is recognized.

摘要

在10例烧伤患者中,研究了头孢甲肟(CMX)以2种给药剂量(25、50mg/kg)向烧伤水疱液中的转运情况。以奇异变形杆菌ATCC 21100作为在DST琼脂培养基中生长的测试菌,测定静脉滴注1小时后血清和烧伤水疱液中的CMX浓度。对于25mg/kg剂量的CMX,1小时时血清峰值浓度为61.5μg/ml,而2小时时烧伤水疱液峰值浓度为15.2μg/ml。计算得出的血清浓度药代动力学参数分别为半衰期(β)1.02小时和分布容积0.42L/kg。对于50mg/kg剂量的CMX,1小时时血清峰值浓度为122.0μg/ml,2小时时烧伤水疱液峰值浓度为40.8μg/ml。计算得出的血清浓度药代动力学参数分别为半衰期(β)1.27小时和分布容积0.55L/kg。从该研究中,可认识到血清和烧伤水疱液中25mg/kg剂量与50mg/kg剂量之间的剂量依赖性。

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