Antimicrobial prophylaxis in surgery: the role of pharmacokinetics

Journal of Chemotherapy
A Novelli

Abstract

Even though surgical infection rates have decreased dramatically during the past 25 years, morbidity and mortality of infection in surgical treatment remains substantial. From a pharmacological point of view, the key factor of the efficacy of antibiotic prophylaxis is to attain bactericidal levels of antibiotic in serum and tissues (target site) during the whole intraoperative and early postoperative period. The success of antibiotic prophylaxis is assured only when the chosen antibiotic with a targeted spectrum and high antimicrobial efficacy is available at the critical moment, at the correct site and in sufficiently high concentration to prevent bacterial contamination of the surgical area. It would be desirable for reasons of convenience and cost if a single preoperative administration were sufficient. The pharmacokinetics and the half-life of antibiotics in the serum are directly related to the duration of activity of antibiotic in the tissue. Antibiotics with longer half-lives maintain levels in the tissues for longer periods than do antibiotics with shorter half-lives and they cover with a single dose the time required for prophylaxis even for longer operations. Finally, the application of the pharmacokinetic properties ...Continue Reading

References

Feb 11, 1992·Clinical Pharmacokinetics·J H Yuk-ChoiT W Williams
Jan 30, 1992·The New England Journal of Medicine·D C ClassenJ P Burke
Jun 1, 1989·Journal of Chemotherapy·R L Nichols

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Citations

Aug 17, 2002·Antimicrobial Agents and Chemotherapy·Sheryl A ZelenitskyRichard E Silverman
Nov 14, 2002·The Journal of Obstetrics and Gynaecology Research·Tippawan LiabsuetrakulPrawit Wannaro
Nov 20, 2009·The Journal of Surgical Research·Tzong-Bor SunMing-Hwang Shyr
May 5, 2005·Chemotherapy·A Di FilippoA R De Gaudio
Mar 8, 2018·The American Journal of Tropical Medicine and Hygiene·Taty TshimanganiNicole F O'Brien
Jan 5, 2002·Obstetrics and Gynecology Clinics of North America·R A Adam, Y G Adam

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