Abstract
The tissue penetration of intravenous piperacillin (4 g) into the colonic structures was investigated in 18 patients (7 men, 11 women, 61 ± 16 years old) undergoing colorectal surgery for a lieberkühnian adenocarcinoma. In the peri-colonic ganglions, mean piperacillin concentrations were 25.6 ± 21.5 and 18.0 ± 21.5 μg/g respectively 41.9 ± 13.7 and 91.1 ± 26.1 minutes after administration. In the colonic wall, concentrations were 26.9 ± 24.5 and 11.9 ± 12.6 μg/g respectively 91.1 ± 26.1 and 171.6 ± 26.7 minutes after administration. These concentrations are clearly above the MICs90 of piperacillin against pathogens targeted by the antibioprophylaxis in colorectal surgery, i.e. Enterobacteriaceae, Enterococcus spp and Bacteroides fragilis.
Translated title of the contribution | Tissue penetration of piperacillin into the colonic structures |
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Original language | French |
Pages (from-to) | 1206-1209 |
Number of pages | 4 |
Journal | Medecine et Maladies Infectieuses |
Volume | 25 |
Issue number | 12 |
DOIs | |
State | Published - Dec 1995 |
Externally published | Yes |
Keywords
- Antibiotic prophylaxis
- Colorectal surgery
- Piperacilline
- Tissue penetration