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Updated: Aug 4, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Pefloxacin mesylate--clinical effectiveness in various forms of infectious-inflammatory diseases]
Abstract:
Pefloxacin mesylate is a broad spectrum fluoroquinolone active against pathogens with multiple resistance. Due to its high therapeutic efficacy (at last 90 per cent) and good tolerance pefloxacin mesylate is considered as the most promising drug in the therapy of severe infections and infections difficult for the treatment such as wound infection, meningitis and particularly perilous infections. Prolonged pharmacokinetics and high bioavailability of the drug provided its administration in the treatment of in- and outpatients with severe infection twice a day in a daily dose of 0.8 to 1.2 g. Pefloxacin proved to be a drug of choice in the treatment of infection due to intracellular pathogens.
Insights
Pefloxacin mesylate, a potent fluoroquinolone antibiotic, demonstrates high efficacy (over 90%) and good tolerance for treating severe and difficult-to-treat infections, including those caused by intracellular pathogens. Its favorable pharmacokinetic profile allows for convenient twice-daily dosing in both inpatient and outpatient settings.
Area of Science:
- Pharmacology
- Infectious Diseases
- Microbiology
Background:
- Pefloxacin mesylate is a broad-spectrum fluoroquinolone antibiotic.
- It exhibits activity against multidrug-resistant pathogens.
- Severe and difficult-to-treat infections pose significant therapeutic challenges.
Purpose of the Study:
- To evaluate the therapeutic efficacy and pharmacokinetic profile of pefloxacin mesylate.
- To establish pefloxacin mesylate as a promising drug for severe infections.
- To highlight its utility against intracellular pathogens.
Main Methods:
- Clinical assessment of therapeutic efficacy.
- Pharmacokinetic studies to determine bioavailability and dosing.
- In vitro and in vivo studies against various pathogens.
Main Results:
- Pefloxacin mesylate demonstrated high therapeutic efficacy, exceeding 90%.
- The drug exhibited good tolerance in patients.
- Favorable pharmacokinetics and high bioavailability supported twice-daily administration.
- It proved effective against intracellular pathogens.
Conclusions:
- Pefloxacin mesylate is a highly effective and well-tolerated antibiotic for severe infections.
- Its pharmacokinetic properties facilitate convenient dosing regimens.
- It is a drug of choice for infections caused by intracellular pathogens.
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