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Diffusion of ciprofloxacin into prostatic fluid.

A Dalhoff, W Weidner

    European Journal of Clinical Microbiology
    |August 1, 1984
    PubMed
    Summary
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    Ciprofloxacin effectively penetrates prostatic fluid, showing higher concentrations than in serum over time. This suggests potential efficacy for treating chronic bacterial prostatitis.

    Area of Science:

    • Pharmacology
    • Urology

    Background:

    • Chronic bacterial prostatitis requires effective antibiotic penetration into prostatic tissues.
    • Understanding drug distribution in prostatic fluid is crucial for treatment efficacy.

    Purpose of the Study:

    • To assess the diffusion of ciprofloxacin into prostatic fluid.
    • To evaluate ciprofloxacin's potential therapeutic role in chronic bacterial prostatitis.

    Main Methods:

    • Ten healthy volunteers received a 500 mg dose of ciprofloxacin.
    • Ciprofloxacin concentrations were measured in serum and seminal fluid using agar diffusion and bioassay.
    • Split ejaculates and expressed prostatic secretions were analyzed.

    Main Results:

    • Initially, serum levels were double seminal fluid levels.

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  • After 12 and 24 hours, seminal fluid concentrations were tenfold higher than serum levels.
  • Prostatic secretion concentrations ranged from 0.9 to 15 mg/l, indicating significant diffusion.
  • Conclusions:

    • Ciprofloxacin demonstrates pronounced diffusion into prostatic fluid.
    • The drug's pharmacokinetic profile supports its potential efficacy in treating chronic bacterial prostatitis.