Flucloxacillin bone and soft tissue concentrations assessed by microdialysis in pigs after intravenous and oral administration.

Animal model Bone Flucloxacillin Infection Osteomyelitis

Journal

Bone & joint research
ISSN: 2046-3758
Titre abrégé: Bone Joint Res
Pays: England
ID NLM: 101586057

Informations de publication

Date de publication:
Jan 2021
Historique:
entrez: 15 1 2021
pubmed: 16 1 2021
medline: 16 1 2021
Statut: ppublish

Résumé

Flucloxacillin is commonly administered intravenously for perioperative antimicrobial prophylaxis, while oral administration is typical for prophylaxis following smaller traumatic wounds. We assessed the time, for which the free flucloxacillin concentration was maintained above the minimum inhibitory concentration ( A total of 16 pigs were randomly allocated to either intravenous (Group IV) or oral (Group PO) flucloxacillin 1 g every six hours during a 24-hour period. Microdialysis was used for sampling in cancellous and cortical bone, subcutaneous tissue, and the knee joint. In addition, plasma was sampled. The flucloxacillin Intravenous administration resulted in longer Although intravenous administration of flucloxacillin 1 g provided higher fT > MIC for the low MIC target compared to oral administration, concentrations were surprisingly low, particularly for bone tissue. Achievement of sufficient bone and soft tissue flucloxacillin concentrations may require a dose increase or continuous administration. Cite this article:

Identifiants

pubmed: 33448872
doi: 10.1302/2046-3758.101.BJR-2020-0250.R1
pmc: PMC7845458
doi:

Types de publication

Journal Article

Langues

eng

Pagination

60-67

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Auteurs

Mathias A F Bendtsen (MAF)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Mats Bue (M)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Pelle Hanberg (P)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Horsens Regional Hospital, Horsens, Denmark.

Josefine Slater (J)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Maja B Thomassen (MB)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Jakob Hansen (J)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Institute of Forensic Medicine, Aarhus University, Aarhus, Denmark.

Kjeld Søballe (K)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Kristina Öbrink-Hansen (K)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Maiken Stilling (M)

Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark.
Aarhus Microdialysis Research Group, Aarhus University Hospital, Aarhus, Denmark.
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.

Classifications MeSH