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Cefamandole bile levels in patients with hepatobiliary disease
Author(s) -
Marwan Uwaydah,
Hagop M. Kantarjian,
Maher Osseiran,
F. Bala
Publication year - 1982
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.22.6.1087
Subject(s) - cefamandole , medicine , gastroenterology , cholecystitis , gallbladder , acute cholecystitis , biliary tract , bile duct , common bile duct , liver abscess , antibiotics , surgery , cephalosporin , abscess , biology , microbiology and biotechnology
Intraoperative biliary cefamandole concentrations were determined in 16 patients with hepatobiliary pathology. These included seven patients with cholelithiasis, five with acute cholecystitis, two with recurrent ascending cholangitis, and two with liver abscesses. Bile collected 0.5 to 2.5 h after the last antibiotic dose of 1 g administered by intravenous drip showed therapeutically effective concentrations of cefamandole in 84% (11 of 13) of gall bladder samples with a median of 220 micrograms/ml (range, 1.6 to 1,400), and in 100% (13 of 13) of common bile duct samples with a median of 1,100 micrograms/ml (range, 9.0 to greater than 2,000). Only with complete aseptic cystic duct obstruction was cefamandole undetectable in gall bladder bile.

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