Abstract:
:Respiratory fluoroquinolones are currently considered by several guidelines among the most effective antimicrobial agents for the treatment of acute bacterial rhinosinusitis. The aim of this study was to assess levofloxacin penetration into paranasal sinuses mucosa of 15 patients with chronic rhinosinusitis 1h (n = 4), 2 h (n = 5) and 3 h (n = 6) after a single 500 mg oral dose. Levofloxacin concentrations in plasma and tissue samples were assessed by means of HPLC. Median of mucosal concentrations were 0.96 mg l(-1) at 1 h, 2.50 mg l(-1) at 2 h, 5.84 mg l(-1) at 3 h. Average paranasal sinuses mucosa-to-plasma ratios raised from 1.46 at 1 h, to 1.81 at 2 h and to 2.56 at 3 h. These data are consistent with 500 mg oral levofloxacin ensuring appropriate therapeutic exposure in sinonasal tissue of patients with chronic rhinosinusitis, the concentrations between 1 and 3 h post-dosing being almost always higher than the MIC90 against the major bacterial pathogens responsible for upper respiratory tract infections.
journal_name
Pharmacol Resjournal_title
Pharmacological researchauthors
Pea F,Marioni G,Pavan F,Staffieri C,Bottin R,Staffieri A,Furlanut Mdoi
10.1016/j.phrs.2006.10.003subject
Has Abstractpub_date
2007-01-01 00:00:00pages
38-41issue
1eissn
1043-6618issn
1096-1186pii
S1043-6618(06)00185-Xjournal_volume
55pub_type
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