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 |
|---|---|
| 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