Erythromycin lactobionate: pharmacokinetics and uterine tissue levels. 1987

A Segui, and D Milon, and M Cormier, and G Lepesant
Laboratoire de Physique Pharmaceutique et Biomathématiques, Université de Rennes I, France.

Erythromycin is well-known for its properties of tissular diffusion. An estimation of its concentration in uterine tissue seemed worthwhile, in order to justify the use of erythromycin lactobionate in uterine infections by sensitive micro-organisms. The authors studied the uterine levels of this macrolid, after perfusion of 1g of erythromycin lactobionate, over a period of one hour. The protocol involved a group of 15 women, who were to undergo a hysterectomy for benign non-inflammatory pathology. The uterine specimens and plasmatic pharmacokinetics of the antibiotic constitute the data. The concentrations of antibiotic were determined by microbiological methods. 2 sets of results emerge: during perfusion, the uterine erythromycin levels are equal or inferior to simultaneous serum levels. after perfusion, the uterine levels are superior to serum levels. A bicompartmental linear model was used, which simulated the tissular levels in standard treatment with erythromycin lactobionate. If the erythromycin 4 micrograms/ml critical concentration is compared with uterine tissue concentration, the antibiotic may be expected to be active against a uterine affected by sensitive micro-organisms during a period of approximately 5 hours. This result must be confirmed by a clinical study.

UI MeSH Term Description Entries
D007262 Infusions, Intravenous The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it. Drip Infusions,Intravenous Drip,Intravenous Infusions,Drip Infusion,Drip, Intravenous,Infusion, Drip,Infusion, Intravenous,Infusions, Drip,Intravenous Infusion
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004917 Erythromycin A bacteriostatic antibiotic macrolide produced by Streptomyces erythreus. Erythromycin A is considered its major active component. In sensitive organisms, it inhibits protein synthesis by binding to 50S ribosomal subunits. This binding process inhibits peptidyl transferase activity and interferes with translocation of amino acids during translation and assembly of proteins. Erycette,Erymax,Erythromycin A,Erythromycin C,Erythromycin Lactate,Erythromycin Phosphate,Ilotycin,T-Stat,Lactate, Erythromycin,Phosphate, Erythromycin,T Stat,TStat
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014599 Uterus The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES. Fundus Uteri,Uteri,Uterine Cornua,Uterine Fundus,Uterus Cornua,Womb,Cornua, Uterine,Fundus Uterus,Fundus, Uterine,Uteri, Fundus,Wombs

Related Publications

A Segui, and D Milon, and M Cormier, and G Lepesant
January 1980, The Journal of international medical research,
A Segui, and D Milon, and M Cormier, and G Lepesant
December 1987, Minerva pediatrica,
A Segui, and D Milon, and M Cormier, and G Lepesant
January 1979, Acta clinica Belgica,
A Segui, and D Milon, and M Cormier, and G Lepesant
February 1994, The Pediatric infectious disease journal,
A Segui, and D Milon, and M Cormier, and G Lepesant
January 1989, DICP : the annals of pharmacotherapy,
A Segui, and D Milon, and M Cormier, and G Lepesant
March 1986, British journal of clinical pharmacology,
A Segui, and D Milon, and M Cormier, and G Lepesant
August 1973, JAMA,
A Segui, and D Milon, and M Cormier, and G Lepesant
January 1989, BMJ (Clinical research ed.),
A Segui, and D Milon, and M Cormier, and G Lepesant
February 1975, Australian and New Zealand journal of medicine,
A Segui, and D Milon, and M Cormier, and G Lepesant
October 1989, Schweizerische medizinische Wochenschrift,
Copied contents to your clipboard!