系统注射的抗生素在骨科相关的标组织和环境中的动态分布
Maria Bech Damsgaard Nielsen1,2, Andrea René Jørgensen1,2, Maiken Stilling1,2,3
1Department of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
APMIS : acta pathologica, microbiologica, et immunologica Scandinavica
|November 12, 2024
概括
本综述详细介绍了使用动态采样在骨科组织中的抗生素分布. 研究结果为优化抗生素剂量和改善骨科环境中的治疗结果提供了洞察力.
科学领域:
- 整形外科手术 整形外科手术
- 药理动力学 药理动力学
- 传染性疾病 传染性疾病
背景情况:
- 在骨科手术中优化抗生素治疗对于患者的治疗结果至关重要.
- 了解抗生素在目标组织中的分布对于有效治疗至关重要.
- 动态采样方法提供实时药物度数据.
研究的目的:
- 系统地审查和总结有关骨科组织中抗生素分布的当前文献.
- 分析使用动态采样方法进行抗生素测量的研究.
- 确定知识差距,并为改进抗生素剂量策略提供基础.
主要方法:
- 在PubMed和Embase数据库的系统文献搜索 (2004-2024年).
- 包括英语出版的关于在骨科组织中使用动态测量对系统性抗生素施用的研究.
- 分析了97项符合条件的研究,涵盖临床前和临床环境,各种组织和疾病.
主要成果:
- 微透析是主要的动态采样方法 (98%的研究).
- 塞福洛キシ姆,线索利德和万科米辛是研究最多的抗生素之一.
- 大多数抗生素被评估的频率不高,突出需要更广泛的调查.
- 研究包括临床前,临床,健康,感染,预防和稳定状态场景.
结论:
- 本综述提供了关于抗生素在骨科组织中的微环境分布的宝贵见解.
- 结果可以为改进剂量建议提供信息,并提高治疗疗效.
- 限制包括药物特异性,剂量,剂量,组织和PK/PD目标.
相关概念视频
Drug Distribution: Tissue Binding
2.6K
Upon entering the systemic circulation, drugs can distribute into the interstitial and intracellular fluid of various tissue cells. This distribution is facilitated by the binding of drugs to different cellular components within tissues, which may lead to drug accumulation in specific areas. Drugs bound to tissue components serve as reservoirs that release free drugs back into the system, prolonging the drug's overall action. However, this accumulation can also result in local toxicity.
For...
For...
2.6K
Tissue-Drug Binding: Localization of Drugs and its Significance
69
Body tissues, comprising approximately 40% of the body weight, are crucial in drug distribution and localization. These tissues can serve as drug storage sites, competing with plasma binding sites for drug molecules.
Drugs can bind to different tissue components, enhancing their distribution and localization. The factors influencing drug localization in tissues include the drug's lipophilicity, structural characteristics, tissue perfusion rate, and pH differences. These factors determine...
Drugs can bind to different tissue components, enhancing their distribution and localization. The factors influencing drug localization in tissues include the drug's lipophilicity, structural characteristics, tissue perfusion rate, and pH differences. These factors determine...
69
Routes of Drug Administration: Parenteral
1.9K
The administration of drugs via parenteral routes allows for direct drug introduction into the systemic circulation, resulting in high bioavailability because the medication bypasses the harsh conditions of the gastrointestinal tract and hepatic metabolism.
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
1.9K
Antibiotic Selection
52.3K
Overview
52.3K
Drug Delivery: Parenteral Route
425
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
425
Factors Affecting Drug Distribution: Miscellaneous Factors
274
Drug distribution in the human body is a complex process influenced by various individual factors, including age, pregnancy, obesity, diet, body water composition, pH levels, and specific disease conditions.
Age plays a significant role due to differences in body composition among different age groups. Infants, for instance, have a higher proportion of total body water and lower albumin levels, a protein that binds drugs in the bloodstream. This unique composition in infants enhances the...
Age plays a significant role due to differences in body composition among different age groups. Infants, for instance, have a higher proportion of total body water and lower albumin levels, a protein that binds drugs in the bloodstream. This unique composition in infants enhances the...
274


