Intraocular levels of cefamandole compared with cefazolin after subconjunctival injection in rabbits.

Intraocular levels of cefamandole compared with cefazolin after subconjunctival injection in rabbits.
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家兔结膜下注射后头孢孟多与头孢唑林的眼内浓度比较。

DOI:
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发表时间:
1979
影响因子:
4.4
通讯作者:
J. Baum
J. Baum
中科院分区:
医学2区
文献类型:
--
作者:
M. Barza;A. Kane;J. Baum

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We compared the intraocular pharmacokinetics of cefazolin with those of cefamandole, a recently marketed cephalosporin with enhanced activity against gram-negative bacilli. Following subconjunctival injection of 12.5 mg into infected eyes (S. aureus endophthalmitis) of pigmented rabbits, both drugs reached peak concentrations greater than 100 microgram/gm in cornea, sclera, and choroid-retina. The half-life was markedly shorter in sclera and choroid-retina than in cornea. Levels in the aqueous humor rose and fell more slowly than those in ocular tissues, reaching a maximum of only 5 to 10 microgram/ml. The pharmacokinetics of the two drugs were virtually identical in most intraocular sites. When cefazolin, which was less irritating than cefamandole by the subconjunctival route, was given in a dosage of 100 mg, levels in ocular tissues were increased by twofold to fourfold and in aqueous humor by 15-fold, compared to the concentrations produced by the 12.5 mg dosage. Levels in the vitreous humor were exceedingly low with both drugs; mean peak concentrations were 0.24 microgram/ml after the 12.5 mg dosage of cefamandole and less than 1.6 microgram/ml after the 100 mg dose of cefazolin.