Fluconazole Penetration into the Pancreas

Author:

Shrikhande Shailesh1,Friess Helmut1,Issenegger Claudia1,Martignoni Marcus E.1,Yong Huang1,Gloor Beat1,Yeates Rodney2,Kleeff Jörg1,Büchler Markus W.1

Affiliation:

1. Department of Visceral and Transplantation Surgery, University of Bern, Bern, Switzerland,1and

2. Pfizer Mack Research Laboratory, Illertissen, Germany2

Abstract

ABSTRACT Because of antibiotic prophylaxis for necrotizing pancreatitis, the frequency of fungal superinfection in patients with pancreatic necrosis is increasing. In this study we analyzed the penetration of fluconazole into the human pancreas and in experimental acute pancreatitis. In human pancreatic tissues, the mean fluconazole concentration was 8.19 ± 3.38 μg/g (96% of the corresponding concentration in serum). In experimental edematous and necrotizing pancreatitis, 88 and 91% of the serum fluconazole concentration was found in the pancreas. These data show that fluconazole penetration into the pancreas is sufficient to prevent and/or treat fungal contamination in patients with pancreatic necrosis.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference24 articles.

1. Candida in pancreatic infection: a clinical experience.;Aloia T.;Am. Surg.,1994

2. Microbiological findings in severe pancreatitis.;Bassi C.;Surg. Res. Commun.,1989

3. Prognostic factors in pancreatic abscess.;Becker J. M.;Surgery,1984

4. Surgical management of necrotizing pancreatitis.;Beger H. G.;Surg. Clin. N. Am.,1989

5. Bacterial contamination of pancreatic necrosis.;Beger H. G.;Gastroenterology,1986

Cited by 36 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3