Murakawa T, Nakamoto S, Nishida M
Jpn J Antibiot. 1980 Jun;33(6):679-84.
The mechanism of renal excretion of ceftizoxime was investigated by renal clearance test and stop flow analysis in rabbits and dogs. The serum half life of ceftizoxime after dosing of probenecid and ceftizoxime in combination was about twice longer in rabbits than and almost the same in dogs as that after dosing of ceftizoxime alone. Renal clearance test and stop flow analysis were performed with the following results: (1) Renal clearance of ceftizoxime was about 3.2 times higher in rabbits than and almost the same in dogs as creatinine clearance. (2) Ceftizoxime was scarcely excreted and reabsorbed in the proximal and distal areas of dogs. (3) Ceftizoxime was excreted in the proximal area and not reabsorbed in the distal area of rabbit. These findings indicate that 60% of the urinary excretion of ceftizoxime was obtained through proximal tubule and remaining amount by glomerular filtration in rabbits, and most of the urinary excretion was obtained by glomerular filtration in dogs.
通过对兔和犬进行肾脏清除率试验及停流分析,研究了头孢唑肟的肾脏排泄机制。在兔中,丙磺舒与头孢唑肟联合给药后,头孢唑肟的血清半衰期约为单独给药后的两倍,而在犬中,联合给药后的血清半衰期与单独给药后的几乎相同。进行肾脏清除率试验及停流分析,结果如下:(1)头孢唑肟的肾脏清除率在兔中约为肌酐清除率的3.2倍,在犬中与肌酐清除率几乎相同。(2)头孢唑肟在犬的近端和远端区域几乎不排泄和重吸收。(3)头孢唑肟在兔的近端区域排泄,在远端区域不重吸收。这些发现表明,在兔中,头孢唑肟60%的尿排泄是通过近端小管实现的,其余部分通过肾小球滤过,而在犬中,大部分尿排泄是通过肾小球滤过实现的。