Previous Article | Next Article 
Antimicrobial Agents and Chemotherapy, August 1999, p. 2056-2058, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Penetration of Ciprofloxacin into the Interstitial
Space of Inflamed Foot Lesions in Non-Insulin-Dependent
Diabetes Mellitus Patients
Markus
Müller,1,*
Martin
Brunner,1
Ursula
Hollenstein,2
Christian
Joukhadar,1
Rainer
Schmid,3
Erich
Minar,4
Herbert
Ehringer,4 and
Hans
Georg
Eichler1
Departments of Clinical
Pharmacology,1 Internal Medicine I,
Division of Infectious Diseases and
Chemotherapy,2 Medical and Chemical
Laboratory Diagnosis,3 and Internal
Medicine II, Division of Angiology,4
University of Vienna Medical School, Vienna, Austria
Received 20 November 1998/Returned for modification 17 April
1999/Accepted 25 May 1999
Interstitial ciprofloxacin concentrations were measured by
microdialysis in inflamed foot lesions of non-insulin-dependent diabetes mellitus patients following intravenous administration of
0.2 g of ciprofloxacin. Interstitial ciprofloxacin concentrations were significantly lower than corresponding serum concentrations. There
was no significant difference in the penetration of ciprofloxacin into
inflamed and unaffected tissue (area under the concentration-time curveinfection/area under the concentration-time
curveunaffected tissue = 0.99 ± 0.15 [mean ± standard error], n = 6). Thus, inflammation appears to have little or no effect on the penetration of ciprofloxacin into tissue.
*
Corresponding author. Mailing address: Department of
Clinical Pharmacology, Division of Clinical Pharmacokinetics,
University of Vienna Medical School, Allgemeines Krankenhaus,
Währinger Gürtel 18-20, A-1090 Vienna, Austria. Phone:
43-1-40400-2981. Fax: 43-1-40400-2998. E-mail:
markus.mueller{at}univie.ac.at.
Antimicrobial Agents and Chemotherapy, August 1999, p. 2056-2058, Vol. 43, No. 8
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
-
Lipsky, B. A., Giordano, P., Choudhri, S., Song, J.
(2007). Treating diabetic foot infections with sequential intravenous to oral moxifloxacin compared with piperacillin-tazobactam/amoxicillin-clavulanate. J Antimicrob Chemother
60: 370-376
[Abstract]
[Full Text]
-
Skhirtladze, K., Hutschala, D., Fleck, T., Thalhammer, F., Ehrlich, M., Vukovich, T., Muller, M., Tschernko, E. M.
(2006). Impaired Target Site Penetration of Vancomycin in Diabetic Patients following Cardiac Surgery.. Antimicrob. Agents Chemother.
50: 1372-1375
[Abstract]
[Full Text]
-
Langer, O., Karch, R., Muller, U., Dobrozemsky, G., Abrahim, A., Zeitlinger, M., Lackner, E., Joukhadar, C., Dudczak, R., Kletter, K., Muller, M., Brunner, M.
(2005). Combined PET and Microdialysis for In Vivo Assessment of Intracellular Drug Pharmacokinetics in Humans. JNM
46: 1835-1841
[Abstract]
[Full Text]
-
Joukhadar, C., Dehghanyar, P., Traunmuller, F., Sauermann, R., Mayer-Helm, B., Georgopoulos, A., Muller, M.
(2005). Increase of Microcirculatory Blood Flow Enhances Penetration of Ciprofloxacin into Soft Tissue. Antimicrob. Agents Chemother.
49: 4149-4153
[Abstract]
[Full Text]
-
Legat, F. J., Krause, R., Zenahlik, P., Hoffmann, C., Scholz, S., Salmhofer, W., Tscherpel, J., Tscherpel, T., Kerl, H., Dittrich, P.
(2005). Penetration of Piperacillin and Tazobactam into Inflamed Soft Tissue of Patients with Diabetic Foot Infection. Antimicrob. Agents Chemother.
49: 4368-4371
[Abstract]
[Full Text]
-
Zeitlinger, M. A., Erovic, B. M., Sauermann, R., Georgopoulos, A., Muller, M., Joukhadar, C.
(2005). Plasma concentrations might lead to overestimation of target site activity of piperacillin in patients with sepsis. J Antimicrob Chemother
56: 703-708
[Abstract]
[Full Text]
-
Lipsky, B. A., Berendt, A. R., Deery, H. G., Embil, J. M., Joseph, W. S., Karchmer, A. W., LeFrock, J. L., Lew, D. P., Mader, J. T., Norden, C., Tan, J. S.
(2005). Diagnosis and Treatment of Diabetic Foot Infections. J. Am. Podiatr. Med. Assoc.
95: 183-210
[Full Text]
-
Brunner, M., Langer, O., Dobrozemsky, G., Muller, U., Zeitlinger, M., Mitterhauser, M., Wadsak, W., Dudczak, R., Kletter, K., Muller, M.
(2004). [18F]Ciprofloxacin, a New Positron Emission Tomography Tracer for Noninvasive Assessment of the Tissue Distribution and Pharmacokinetics of Ciprofloxacin in Humans. Antimicrob. Agents Chemother.
48: 3850-3857
[Abstract]
[Full Text]
-
Muller, M., dela Pena, A., Derendorf, H.
(2004). Issues in Pharmacokinetics and Pharmacodynamics of Anti-Infective Agents: Distribution in Tissue. Antimicrob. Agents Chemother.
48: 1441-1453
[Full Text]
-
Swoboda, S., Oberdorfer, K., Klee, F., Hoppe-Tichy, T., von Baum, H., Geiss, H. K.
(2003). Tissue and serum concentrations of levofloxacin 500 mg administered intravenously or orally for antibiotic prophylaxis in biliary surgery. J Antimicrob Chemother
51: 459-462
[Abstract]
[Full Text]
-
Brunner, M., Stass, H., Moller, J.-G., Schrolnberger, C., Erovic, B., Hollenstein, U., Zeitlinger, M., Eichler, H. G., Muller, M.
(2002). Target Site Concentrations of Ciprofloxacin after Single Intravenous and Oral Doses. Antimicrob. Agents Chemother.
46: 3724-3730
[Abstract]
[Full Text]
-
Delacher, S., Derendorf, H., Hollenstein, U., Brunner, M., Joukhadar, C., Hofmann, S., Georgopoulos, A., Eichler, H. G., Muller, M.
(2000). A combined in vivo pharmacokinetic-in vitro pharmacodynamic approach to simulate target site pharmacodynamics of antibiotics in humans. J Antimicrob Chemother
46: 733-739
[Abstract]
[Full Text]
-
Frossard, M., Joukhadar, C., Erovic, B. M., Dittrich, P., Mrass, P. E., Van Houte, M., Burgmann, H., Georgopoulos, A., Müller, M.
(2000). Distribution and Antimicrobial Activity of Fosfomycin in the Interstitial Fluid of Human Soft Tissues. Antimicrob. Agents Chemother.
44: 2728-2732
[Abstract]
[Full Text]