1. Adsorption of various antimicrobial agents to endotoxin removal polymyxin-B immobilized fiber (Toraymyxin®). Part 2: Adsorption of two drugs to Toraymyxin PMX-20R cartridges
- Author
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Yuko Wada, Ken-ichi Shimokawa, Fumiyoshi Ishii, Ryotaro Takakuwa, and Noriko Yamazaki
- Subjects
Serum ,Polymyxin b immobilized fiber ,Sepsis ,chemistry.chemical_compound ,Cartridge ,Colloid and Surface Chemistry ,Adsorption ,Anti-Infective Agents ,Ciprofloxacin ,Renal Dialysis ,Acetamides ,medicine ,Humans ,Fiber ,Physical and Theoretical Chemistry ,Chromatography, High Pressure Liquid ,Oxazolidinones ,Polymyxin B ,Chromatography ,Linezolid ,Surfaces and Interfaces ,General Medicine ,medicine.disease ,Antimicrobial ,Anti-Bacterial Agents ,Endotoxins ,Endotoxin removal ,Kinetics ,chemistry ,Biotechnology - Abstract
In our previous study, the degree of adsorption of 9 representative antimicrobial agents to Toraymyxin ® PMX-F sheets was quantitatively evaluated [1] . As a result, the adsorption rate was 22.1% for Linezolid in the presence of serum. Therefore, we investigated whether two types of antimicrobial agents (Ciprofroxacin and Linezolid) can be better adsorbed on PMX-F sheets. When the number of PMX-F sheets was increased in a step wise manner, specifically 2, 4, 6, 8 and 12, the adsorption rate increased linearly. In addition, the adsorption to polymyxin-B immobilized fiber (Toraymyxin ® PMX-20R) cartridges, widely used to remove endotoxins from circulating blood in the treatment of sepsis, was quantitatively evaluated. As a result, in the presence of serum, Linezolid showed adsorption to PMX-20R, and the adsorption rate after 2 h was 54.5%, and that after 4 h was 65.8%. The results of this study suggest the necessity of monitoring blood antimicrobial concentration during treatment for sepsis with Linezolid, which showed adsorption to PMX-20R in an environment close to a clinical environment.
- Published
- 2012