Pharmacokinetics of Intraperitoneal and Intravenous Fosfomycin in Automated Peritoneal Dialysis Patients without Peritonitis

Author:

Tobudic Selma1,Matzneller Peter2,Stoiser Brigitte1,Wenisch Judith Maria1,Zeitlinger Markus2,Vychytil Andreas3,Jaeger Walter4,Boehmdorfer Michaela4,Reznicek Gottfried4,Burgmann Heinz1

Affiliation:

1. Department of Internal Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria

2. Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria

3. Department of Internal Medicine III, Division of Nephrology and Dialysis, Medical University of Vienna, Vienna, Austria

4. Department of Pharmacology and Toxicology, University of Vienna, Vienna, Austria

Abstract

ABSTRACT Blood and dialysate concentrations of fosfomycin were determined after intravenous and intraperitoneal application of 4 mg/liter in patients undergoing automated peritoneal dialysis. Maximum serum concentrations after intravenous (287.75 ± 86.34 mg/liter) and intraperitoneal (205.78 ± 66.78 mg/liter) administration were comparable. Ratios of intraperitoneal to systemic exposure were 1.12 (intraperitoneal administration) and 0.22 (intravenous administration), indicating good systemic exposure after intraperitoneal application but limited penetration of fosfomycin into the peritoneal fluid after the intravenous dose.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference12 articles.

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