Distribution and Antimicrobial Activity of Ciprofloxacin in Human Soft Tissues

Author:

Brunner Martin1,Hollenstein Ursula2,Delacher Simon1,Jäger Dorothea1,Schmid Rainer3,Lackner Edith1,Georgopoulos Apostoulos2,Eichler Hans Georg1,Müller Markus1

Affiliation:

1. Department of Clinical Pharmacology,1

2. Department of Internal Medicine I, Division of Infectious Diseases and Chemotherapy,2 and Department of

3. Clinical and Laboratory Investigation,3University of Vienna Medical School, Vienna, Austria

Abstract

ABSTRACT Interstitial ciprofloxacin concentrations in soft tissues were measured by microdialysis following intravenous administration of 200 mg to each of eight healthy volunteers. Interstitial ciprofloxacin concentrations were significantly lower than corresponding total serum drug concentrations; the interstitium-to-serum concentration ratios ranged from 0.55 to 0.73. An in vitro simulation based on interstitial pharmacokinetics showed a substantially lower antimicrobial activity than did the simulation based on serum pharmacokinetics. Thus, ciprofloxacin concentrations at the site of effect may be subinhibitory although effective concentrations are attained in serum.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference21 articles.

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5. Penetration of ciprofloxacin into kidney, fat, muscle and skin tissue.;Daschner F. D.;Eur. J. Clin. Microbiol.,1986

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