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Aerosolization of imipenem/cilastatin prevents pseudomonas-induced acute lung injury.
Hashimoto, S; Wolfe, E; Guglielmo, B; Shanks, R; Sundelof, J; Pittet, J F; Thomas, E; Wiener-Kronish, J.
Afiliación
  • Hashimoto S; Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Japan.
J Antimicrob Chemother ; 38(5): 809-18, 1996 Nov.
Article en En | MEDLINE | ID: mdl-8961050
Aerosolization of imipenem/cilastatin was compared with continuous intravenous infusions of the antibiotic for pharmacokinetic/pharmacodynamic analysis. The concentrations of imipenim/cilastatin in bronchoalveolar lavage fluids (BAL) obtained from rats exposed to the aerosolized antibiotic were significantly greater than the concentrations in BAL in the rats that had received intravenous infusions of imipenem/cilastatin. The two methods of antibiotic delivery were compared for their effects on bacterial-induced lung injury in rats that had Pseudomonas aeruginosa instilled into their airspaces. The aerosolization of antibiotic was associated with significantly decreased bacterial-induced lung injury. The high concentrations of antibiotic in the airspaces secondary to aerosolization appears to kill bacteria more quickly and preserve lung epithelial and endothelial integrity better than systemic delivery of the same antibiotic.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pseudomonas aeruginosa / Infecciones por Pseudomonas / Quimioterapia Combinada / Pulmón Límite: Animals Idioma: En Revista: J Antimicrob Chemother Año: 1996 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pseudomonas aeruginosa / Infecciones por Pseudomonas / Quimioterapia Combinada / Pulmón Límite: Animals Idioma: En Revista: J Antimicrob Chemother Año: 1996 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido