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Single subcutaneous dosing of cefovecin in rhesus monkeys (Macaca mulatta): a pharmacokinetic study
J Bakker1, L R Thuesen, G Braskamp
1Animal Science Department, Biomedical Primate Research Centre, Rijswijk, The Netherlands. bakker@bprc.nl
Abstract:
Cefovecin is a third-generation cephalosporin approved for antibacterial treatment with a 14-day dosing interval in dogs and cats. This antibiotic may also be useful for zoo and wildlife veterinary medicine, because of its broad spectrum and long duration of activity. The aim of the study was to determine whether cefovecin is a suitable antibiotic to prevent skin wound infection in rhesus monkeys. Therefore, the pharmacokinetics (PK) of cefovecin after a single subcutaneous injection at 8 mg/kg bodyweight in four rhesus monkeys (Macaca mulatta) and sensitivity of bacterial isolates from fresh skin wounds were determined. After administration, blood, urine, and feces were collected, and concentrations of cefovecin were determined. Further, the minimum inhibitory concentrations (MIC) for bacteria isolated from fresh skin wounds of monkeys during a health control program were determined. The mean maximum plasma concentration (C(max) ) of cefovecin was 78 μg/mL and was achieved after 57 min. The mean apparent long elimination half-life (t½) was 6.6 h and excretion occurred mainly via urine. The MIC for the majority of the bacteria examined was >100 μg/mL. The PK of cefovecin in rhesus monkeys is substantially different than for dogs and cats. Cefovecin rapidly reached C(max) which however was lower than most of the MIC levels and with a very short t½. Therefore, cefovecin is not recommended for treating skin wounds in rhesus monkeys.
Insights
Cefovecin, an antibiotic for dogs and cats, is not suitable for rhesus monkeys due to rapid elimination and low plasma concentrations. Bacterial resistance further limits its use for skin wound infections in this species.
Area of Science:
- Veterinary Pharmacology
- Primate Medicine
- Infectious Disease
Background:
- Cefovecin is a third-generation cephalosporin antibiotic with a 14-day dosing interval, approved for dogs and cats.
- Its broad spectrum and long duration suggest potential utility in zoo and wildlife veterinary medicine.
- The study investigated cefovecin's efficacy for preventing skin wound infections in rhesus monkeys.
Purpose of the Study:
- To evaluate the pharmacokinetics (PK) of cefovecin in rhesus monkeys.
- To determine the sensitivity of bacterial isolates from rhesus monkey skin wounds to cefovecin.
- To assess the suitability of cefovecin for treating skin wounds in rhesus monkeys.
Main Methods:
- Four rhesus monkeys received a single subcutaneous injection of cefovecin (8 mg/kg).
- Blood, urine, and feces were collected to determine cefovecin concentrations.
- Minimum inhibitory concentrations (MIC) were determined for bacteria isolated from monkey skin wounds.
Main Results:
- Mean maximum plasma concentration (Cmax) was 78 μg/mL, achieved at 57 minutes.
- Mean elimination half-life (t½) was 6.6 hours, with primary excretion via urine.
- Most bacterial isolates exhibited MICs greater than 100 μg/mL, exceeding cefovecin plasma levels.
Conclusions:
- Cefovecin's pharmacokinetic profile in rhesus monkeys differs significantly from dogs and cats.
- Rapid Cmax achievement, lower than most MICs, and a very short t½ render cefovecin ineffective.
- Cefovecin is not recommended for treating skin wounds in rhesus monkeys based on this study.
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