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Pharmacokinetic study of cefodizime and ceftriaxone in sera and bones of patients undergoing hip arthroplasty
Author(s) -
Francesco Scaglione,
Gianluca Martini,
L Peretto,
R Ghezzi,
M Baratelli,
M.M. Arcidiacono,
F. Fraschini
Publication year - 1997
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.41.10.2292
Subject(s) - ceftriaxone , medicine , pharmacokinetics , cephalosporin , arthroplasty , antibiotics , serum concentration , antibacterial agent , total hip arthroplasty , gastroenterology , pharmacology , surgery , urology , microbiology and biotechnology , biology
The study was carried out to determine the concentrations of cefodizime (single 2-g intravenous [i.v.] dose) and ceftriaxone (single 2-g i.v. dose) in the sera and bones of 42 patients (18 women and 24 men) undergoing hip arthroplasty. The concentrations of cefodizime and ceftriaxone in cancellous and cortical bone appear to be related to the free levels in serum but not to the total levels in serum, so the concentrations of cephalosporins in bone must be compared with the free concentrations in serum. Both drugs diffuse well into bone, with concentrations exceeding the MIC at which 90% of the major pathogenic infecting organisms are inhibited.

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