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Concentration of cefixime in bile, gallbladder wall and serum after preoperative administration in patients undergoing cholecystectomy.
Author: FleckensteinG, MoorthiK, NiesB
Original Abstract of the Article :
Cefixime is a new oral cephalosporin antibiotic with improved activity against Gram-negative pathogens comparable to the parenteral third generation cephalosporins, high beta-lactamase stability and a long elimination half-life of about 3 h. 15 patients undergoing cholecystectomy received 2 x 200 mg...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://pubmed.ncbi.nlm.nih.gov/2374476
データ提供:米国国立医学図書館(NLM)
Cefixime's Pharmacokinetics: A Preoperative Study
This research focuses on the pharmacokinetics of cefixime, a new oral cephalosporin antibiotic, in patients undergoing cholecystectomy. The study aimed to determine cefixime's concentration in bile, gallbladder wall, and serum after preoperative administration. The researchers administered cefixime to patients undergoing cholecystectomy, collecting samples of bile, gallbladder wall, and serum at various time points. Their findings revealed significant cefixime levels in both bile and gallbladder wall, indicating effective drug delivery to the target site. Notably, serum concentrations were detectable in most patients but not all, suggesting variations in drug absorption and elimination.
Cefixime's Efficacy in Preoperative Treatment
The research demonstrates the potential of cefixime as a preventative antibiotic prior to cholecystectomy. High concentrations of cefixime in bile and gallbladder tissue, even after a 13-17 hour interval from the last administration, suggests its efficacy in preventing postoperative infections. These results, however, highlight the need for further investigation into individual patient variations in cefixime absorption and elimination.
The Benefits of Targeted Antibiotic Delivery
This study emphasizes the significance of targeted drug delivery in achieving optimal treatment outcomes, particularly in surgical procedures. The high concentration of cefixime in bile and gallbladder wall, while demonstrating its effectiveness in preventing infections, also underscores the importance of considering individual patient factors in antibiotic administration. This approach may contribute to more personalized and effective treatment strategies.
Dr. Camel's Conclusion
This research, like a well-planned desert expedition, unveils the pharmacokinetic profile of cefixime, a potential weapon against postoperative infections. The high levels of cefixime found in bile and gallbladder wall, even hours after administration, are promising, but individual variations in drug absorption remain a factor to consider. Remember, just as a camel adapts to the desert, our bodies respond to medications in unique ways. Consult with a healthcare professional for personalized advice on antibiotic usage.
Date :
- Date Completed 1990-08-28
- Date Revised 2013-11-21
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English
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