Biliary and pancreatic excretion of cefamandole

Author:

Burns G P1,Stein T A1,Cohen M1

Affiliation:

1. Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, New York 11042.

Abstract

After intravenous infusion of secretin and cholecystokinin in six dogs, cefamandole (50 mg/kg of body weight) was given intravenously for 10 min. Samples of serum, bile, pancreatic juice, liver, pancreas, fat, and muscle were collected over a 2-h period. Cefamandole levels were measured by a microbiological assay. The highest levels were as follows: serum, 160 micrograms/ml; bile, 3,071 micrograms/ml; pancreatic juice, 7 micrograms/ml; liver, 101 micrograms/g; pancreas, 44 micrograms/g; muscle, 20 micrograms/g; and fat, 14 micrograms/g. Levels in pancreatic juice were extremely low compared with levels in pancreatic tissue, suggesting the existence of a barrier to excretion at the ductal membrane.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference13 articles.

1. The biliary excretion of cefamandole. Experimental study and appraisal in humans;Brogard J. M.;Infection,1981

2. The effect of verapamil on pancreatic exocrine secretion;Burns G. P.;Surgery,1986

3. Bloodpancreatic juice barrier to antibiotic excretion;Burns G. P.;Am. J. Surg.,1986

4. Prospective randomized controlled study of prophylaxis with cefamandole in high risk patients undergoing operations upon the biliary tract;Cainzos M.;Surg. Gynecol. Obstet.,1985

5. Biliary concentrations of cefamandole and its use in biliary tract surgery;Levi J. U.;Scand. J. Infect. Dis. Suppl.,1980

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