Compatibility of aztreonam in four commercial peritoneal dialysis fluids.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
04 02 2020
Historique:
received: 15 07 2019
accepted: 09 01 2020
entrez: 6 2 2020
pubmed: 6 2 2020
medline: 18 11 2020
Statut: epublish

Résumé

The preferable route for treatment of peritoneal dialysis related peritonitis remains the intraperitoneal administration of antibiotics admixed to peritoneal dialysis fluids. It is important to know whether the administered drug is compatible with the PD fluids and its container. In the present study the compatibility of aztreonam with four commercial PDFs at storing temperatures and duration representative for storing conditions in the clinical settings was investigated. Aztreonam concentrations were determined using high-performance liquid chromatography. The antimicrobial activity of aztreonam was evaluated using an E. coli diffusion disk inhibition assay and P. aeruginosa time-kill curves. In Extraneal evaluated at 6 °C, 25 °C and 37 °C aztreonam was stable over the whole study period of 14 days and 24 hours, respectively. In Physioneal and Nutrineal aztreonam was stable at 6 °C for up to 14 days. Antimicrobial activity was retained in all PD fluids over the whole study period. Aztreonam remained stable and was compatible with the PD fluids, particularly with Extraneal or Nutrineal, and no compensatory dose adjustment is needed when stored for up to 14 days at refrigeration temperature before use.

Identifiants

pubmed: 32019947
doi: 10.1038/s41598-020-58391-y
pii: 10.1038/s41598-020-58391-y
pmc: PMC7000415
doi:

Substances chimiques

Anti-Bacterial Agents 0
Dialysis Solutions 0
Aztreonam G2B4VE5GH8

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1788

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Auteurs

Selma Tobudic (S)

Department of Internal Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria. selma.tobudic@meduniwien.ac.at.

Isabella Prager (I)

Department of Pharmacognosy, University of Vienna, Vienna, Austria.

Manuel Kussmann (M)

Department of Internal Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.

Markus Obermüller (M)

Department of Internal Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.

Martin Ursli (M)

Department of Internal Medicine I, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.

Markus Zeitlinger (M)

Department of Clinical Pharmacology, Medical University Vienna, Vienna, Austria.

Martin Wiesholzer (M)

Department of Internal Medicine I, University Hospital St. Poelten, Karl Landsteiner University of Health Sciences, St. Poelten, Austria.

Heinz Burgmann (H)

Department of Internal Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.

Wolfgang Poeppl (W)

Department of Internal Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
Department of Dermatology and Tropical Medicine, Military Medical Cluster East, Austrian Armed Forces, Vienna, Austria.

Gottfried Reznicek (G)

Department of Pharmacognosy, University of Vienna, Vienna, Austria.

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