Penetration of aminoglycosides in uninfected pleural exudates and in pleural empyemas.

Abstract:

:The concentrations of gentamicin, netilmicin, and amikacin were determined after one single intravenous injection in uninfected pleural fluid after thoracotomy and in purulent pleural empyemas. The mean peak concentrations in the pleural fluid after the injection of gentamicin (1.5 mg/kg), netilmicin (2.0 mg/kg), and amikacin (7.5 mg/kg) were 2.9 +/- 0.3 mg/L, 3.7 +/- 0.8 mg/L, and 11.0 +/- 3.1 mg/L, respectively. The pleural penetration of the drugs was very high (from 80.0 to 99.1 percent). By contrast, gentamicin and netilmicin were not detectable in empyema pus; in this exudate the mean peak level of amikacin was 5.7 +/- 2.2 mg/L, with the penetration of this drug being 31.0 percent. The concentrations of parenterally administered aminoglycosides are substantially lower in empyema pus than in sterile pleural fluid. The possibility of poor pleural penetration of some aminoglycosides, as well as the presence of local conditions in pleural empyema unfavorable to the bioactivity of these drugs, must be kept in mind when treating pleural infections.

journal_name

Chest

journal_title

Chest

authors

Thys JP,Vanderhoeft P,Herchuelz A,Bergmann P,Yourassowsky E

doi

10.1378/chest.93.3.530

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

530-2

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)30324-5

journal_volume

93

pub_type

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