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Anidulafungin Pharmacokinetics in Ascites Fluid and Pleural Effusion of Critically Ill Patients
Author(s) -
René Welte,
Philipp Eller,
Ingo Lorenz,
Michael Joannidis,
Romuald Bellmann
Publication year - 2018
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.02326-17
Subject(s) - pharmacokinetics , ascites , medicine , anidulafungin , critically ill , pleural effusion , effusion , pleural fluid , pharmacology , intensive care medicine , surgery , fluconazole , antifungal , micafungin , dermatology
Anidulafungin concentrations were quantified with high-pressure liquid chromatography (HPLC) and UV detection of the ascites fluid and pleural effusion of 10 adult critically ill patients. Samples were collected from ascites fluid and from pleural drains or during paracentesis and thoracentesis, respectively. Anidulafungin levels in ascites fluid (0.12 to 0.99 μg/ml) and in pleural effusion (0.32 to 2.02 μg/ml) were below the simultaneous levels in plasma (1.04 to 7.70 and 2.48 to 13.36 μg/ml, respectively) and below the MIC values for several pathogenicCandida strains.

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