Haruta T, Nishio T, Kobayashi Y
Department of Pediatrics, Kobe City General Hospital.
Jpn J Antibiot. 1998 Jun;51(6):432-6.
The transferability of tazobactam/piperacillin (TAZ/PIPC) to cerebrospinal fluid (CSF) was studied employing rabbits with experimental meningitis caused by Staphylococcus aureus. 125 or 250 mg/kg of TAZ/PIPC was intravenously administered to rabbits with experimental meningitis then concentrations of TAZ and PIPC in CSF and serum were measured. In the group to which 125 mg/kg of TAZ/PIPC was administered, mean concentration of TAZ in CSF was 7.3 and 2.4 micrograms/ml at 30 and 60 min after administration, respectively, and concerning PIPC, it was 10.1 and 3.5 micrograms/ml, respectively. CSF/serum ratio of TAZ was 29.4% and 31.4%, respectively, and that of PIPC was 24.3 and 35.6%, respectively. In the group to which 250 mg/kg of TAZ/PIPC was administered, mean concentration of TAZ in CSF was 16.5 and 12.6% micrograms/ml, respectively, and concerning PIPC, it was 25.6 and 18.2 micrograms/ml, respectively. CSF/serum ratio of TAZ was 22.1 and 56.1%, respectively, and that of PIPC was 12.2 and 51.9%, respectively. Addition of TAZ did not make significant change of transferability of PIPC to CSF. Considering the antibacterial effect of TAZ/PIPC against main causative organism of meningitis, this agent was thought to be effective for the treatment of purulent meningitis.
采用患有金黄色葡萄球菌所致实验性脑膜炎的家兔,研究了他唑巴坦/哌拉西林(TAZ/PIPC)向脑脊液(CSF)的转移情况。将125或250mg/kg的TAZ/PIPC静脉注射给患有实验性脑膜炎的家兔,然后测定CSF和血清中TAZ和PIPC的浓度。在给予125mg/kg TAZ/PIPC的组中,给药后30分钟和60分钟时,CSF中TAZ的平均浓度分别为7.3和2.4μg/ml,对于PIPC,分别为10.1和3.5μg/ml。TAZ的CSF/血清比值分别为29.4%和31.4%,PIPC的CSF/血清比值分别为24.3和35.6%。在给予250mg/kg TAZ/PIPC的组中,CSF中TAZ的平均浓度分别为16.5和12.6μg/ml,对于PIPC,分别为25.6和18.2μg/ml。TAZ的CSF/血清比值分别为22.1和56.1%,PIPC的CSF/血清比值分别为12.2和51.9%。添加TAZ并未使PIPC向CSF的转移能力发生显著变化。考虑到TAZ/PIPC对脑膜炎主要致病菌的抗菌作用,认为该药物对化脓性脑膜炎的治疗有效。