Pharmacokinetics of Amikacin after a Single Intravenous Dose

作者: Nelson Pinto

DOI:

关键词: Minimum inhibitory concentrationPharmacologyCmaxAmikacinSynovial fluidInterstitial fluidPeritoneal fluidArea under the curveChemistryPharmacokinetics

摘要: Amikacin, an aminoglycoside antibiotic, has been used extensively in humans and other animals to treat infections produced by Gram-negative bacteria. The pharmacokinetics of amikacin studied foals, but because its high cost it not adult horses. present study was designed determine if a single intravenous dose (10 mg/kg) will reach therapeutic concentrations plasma horses (n=6) evaluate the concentration synovial, peritoneal, interstitial fluid with same dosage. Serum averaged 115.93 ± 8.254 μg/ml at three minutes, after 60 minutes mean 39.311 5.052 μg/ml. area under curve (AUC) 139.34 34.02 μg*h/ml; elimination half-life (t½β) 1.346 0.4 hours; total body clearance 1.251 0.281 ml/min/kg, mean residual time (MRT) 1.814 0.5 hours. serum for all below minimum detectable assay 24 hours. The maximum (Cmax) injection 19.78 7.14 21.44 4.39 synovial peritoneal fluid, respectively. achieve (Tmax) 65 12.24 115 fluid. infinite (AUC0-∞) 100.02 39.89 μg*h/ml 139.99 25.88 Amikacin reached Cmax 10.82 5.33 μg/ml, hours 3.316 1.69 μg/ml. Based on results pharmacokinetic analysis, appear that would be caused susceptible bacteria inhibitory (MIC) ≤8 Due individual variation, close drug monitoring is recommended.

参考文章(55)
M P Brown, R R Gronwall, C Beal, S H Curry, R M Embertson, I G Mayhew, Amikacin sulfate in mares: pharmacokinetics and body fluid and endometrial concentrations after repeated intramuscular administration. American Journal of Veterinary Research. ,vol. 45, pp. 1610- 1613 ,(1984)
M G Papich, W R Redding, R A Tudor, Drug disposition and dosage determination of once daily administration of gentamicin sulfate in horses after abdominal surgery. Javma-journal of The American Veterinary Medical Association. ,vol. 215, pp. 503- 506 ,(1999)
Joe O. Boison, Patricia M. Dowling, Sarah Greenwood, Chris Clark, Manuel Chirino-Trejo, Bacterial isolates from equine infections in western Canada (1998-2003). Canadian Veterinary Journal-revue Veterinaire Canadienne. ,vol. 49, pp. 153- 160 ,(2008)
Orsini Ja, Spencer Pa, Van Miller E, Benson Ce, Resistance to gentamicin and amikacin of gram-negative organisms isolated from horses. American Journal of Veterinary Research. ,vol. 50, pp. 923- ,(1989)
J A Orsini, M I Park, P A Spencer, Tissue and serum concentrations of amikacin after intramuscular and intrauterine administration to mares in estrus. Canadian Veterinary Journal-revue Veterinaire Canadienne. ,vol. 37, pp. 157- 160 ,(1996)
J L Kadurugamuwa, A J Clarke, T J Beveridge, Surface action of gentamicin on Pseudomonas aeruginosa. Journal of Bacteriology. ,vol. 175, pp. 5798- 5805 ,(1993) , 10.1128/JB.175.18.5798-5805.1993
L. E. Bryan, S. K. Kowand, H. M. Van Den Elzen, Mechanism of Aminoglycoside Antibiotic Resistance in Anaerobic Bacteria: Clostridium perfringens and Bacteroides fragilis Antimicrobial Agents and Chemotherapy. ,vol. 15, pp. 7- 13 ,(1979) , 10.1128/AAC.15.1.7
K. Gary Magdesian, W. David Wilson, Judy Mihalyi, Pharmacokinetics of a high dose of amikacin administered at extended intervals to neonatal foals. American Journal of Veterinary Research. ,vol. 65, pp. 473- 479 ,(2004) , 10.2460/AJVR.2004.65.473
O’neil W. Guthrie, Aminoglycoside induced ototoxicity. Toxicology. ,vol. 249, pp. 91- 96 ,(2008) , 10.1016/J.TOX.2008.04.015
R. D. Moore, C. R. Smith, P. S. Lietman, The association of aminoglycoside plasma levels with mortality in patients with gram-negative bacteremia. The Journal of Infectious Diseases. ,vol. 149, pp. 443- 448 ,(1984) , 10.1093/INFDIS/149.3.443