[Studies on resorption of orally administered antibiotics and chemotherapeutic agents in children and its modification. 2]. 1982

J P Guggenbichler

Besides the considerable differences in the intestinal absorption of the different antibiotic classes as described in part I of this paper galenic preparations and the administration in form of a capsule -- tablet or sirup play a major role too. The particle size of antimicrobial drugs in sirup form has to be carefully selected. It should not be too small to prevent a rapid decay of the substance by gastric acid; if it is too large the dissolution of the substance is not fast enough for maximal absorption in the upper intestinal tract. Enteric coating, soluble binders, the dissolution time of a tablet are other important variables in the absorption of orally administered antibiotics. The most important influence on the resorption of orally administered antibiotics comes from the patient. Individual variations in the absorption are exceptionally high with amoxycillin. Different age groups show considerable variations in intestinal absorption which can amount to an extent of a two to threefold increase or decrease over the mean. Simultaneous administration of food or drugs have significant influences on the absorption of certain antibiotics. The pharmacokinetic investigation and bioavailability studies are done on healthy young adults. Diseases of the intestinal tract like acute diarrhea or malabsorption syndromes influence the absorption of orally administered antibiotics to a considerable extent which even renders some drugs completely ineffective. In cystic fibrosis the enteral absorption is retarded and pharmakokinetic parameters sizably altered.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007408 Intestinal Absorption Uptake of substances through the lining of the INTESTINES. Absorption, Intestinal
D007700 Kinetics The rate dynamics in chemical or physical systems.
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003550 Cystic Fibrosis An autosomal recessive genetic disease of the EXOCRINE GLANDS. It is caused by mutations in the gene encoding the CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR expressed in several organs including the LUNG, the PANCREAS, the BILIARY SYSTEM, and the SWEAT GLANDS. Cystic fibrosis is characterized by epithelial secretory dysfunction associated with ductal obstruction resulting in AIRWAY OBSTRUCTION; chronic RESPIRATORY INFECTIONS; PANCREATIC INSUFFICIENCY; maldigestion; salt depletion; and HEAT PROSTRATION. Mucoviscidosis,Cystic Fibrosis of Pancreas,Fibrocystic Disease of Pancreas,Pancreatic Cystic Fibrosis,Pulmonary Cystic Fibrosis,Cystic Fibrosis, Pancreatic,Cystic Fibrosis, Pulmonary,Fibrosis, Cystic,Pancreas Fibrocystic Disease,Pancreas Fibrocystic Diseases
D004347 Drug Interactions The action of a drug that may affect the activity, metabolism, or toxicity of another drug. Drug Interaction,Interaction, Drug,Interactions, Drug
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000284 Administration, Oral The giving of drugs, chemicals, or other substances by mouth. Drug Administration, Oral,Administration, Oral Drug,Oral Administration,Oral Drug Administration,Administrations, Oral,Administrations, Oral Drug,Drug Administrations, Oral,Oral Administrations,Oral Drug Administrations

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