Cerebrospinal fluid penetration of amikacin in children with community-acquired bacterial meningitis.
AUTOR(ES)
Gaillard, J L
RESUMO
The penetration of amikacin into the cerebrospinal fluid (CSF) was studied with 16 children (mean age, 1 year and 9 months; range, 4 months to 8 years) with community-acquired bacterial meningitis. Amikacin was given intravenously at a dose of 7.5 mg/kg of body weight twice daily. CSF was collected on day 1, at the expected peak concentration of amikacin in CSF. The mean (standard deviation) concentration of amikacin in CSF was 1.65 (1.6) mg/liter. Concentrations of amikacin in CSF correlated significantly with CSF glucose levels on admission. The mean concentrations of amikacin in CSF were 2.9, 1.1, and 0.20 mg/liter in patients with CSF glucose levels of < 1, 1 to 2, and > 2 mmol/liter, respectively. Thus, amikacin penetrates the blood-brain barrier substantially in children with bacterial meningitis and achieves particularly high concentrations when CSF glucose level is < 1 mmol/liter on admission.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=162520Documentos Relacionados
- Penetration of cefoxitin into cerebrospinal fluid of infants and children with bacterial meningitis.
- Severe community-acquired meningitis
- Moxalactam penetration into cerebrospinal fluid in patients with bacterial meningitis.
- Penetration of aztreonam into cerebrospinal fluid of patients with bacterial meningitis.
- Penetration of ceftazidime into cerebrospinal fluid of patients with bacterial meningitis.