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Serum concentrations of cefuroxime after continuous infusion in coronary bypass graft patients.

Authors :
Pass SE
Miyagawa CI
Healy DP
Ivey TD
Source :
The Annals of pharmacotherapy [Ann Pharmacother] 2001 Apr; Vol. 35 (4), pp. 409-13.
Publication Year :
2001

Abstract

Objective: To describe the serum concentrations of continuous infusion of cefuroxime for postsurgical prophylaxis of sternal wound infection in patients undergoing coronary artery bypass graft (CABG), and to assess the incidence of sternal wound infection in this population.<br />Methods: This was a prospective, noncomparative trial involving 54 patients undergoing elective CABG surgery. All patients enrolled in the study received cefuroxime 1.5 g as a single intravenous dose 30 minutes preoperatively, followed by a continuous infusion of 3 g every 24 hours until removal of all central venous catheters.<br />Results: Of the 53 evaluable patients, the mean steady-state cefuroxime serum concentration was 21.6 +/- 14.2 microg/mL (range 6.56-59.5). No patient developed a sternal wound infection. The mean treatment duration was 2.58 +/- 2.13 days (range 1-13). The median hospital and intensive care unit lengths of stay were six days and 46 hours, respectively. The average antibiotic cost per day was $32.76.<br />Conclusions: These preliminary results of continuous infusion of cefuroxime 3 g/d for prophylaxis of sternal wound infections in CABG patients indicate that serum concentrations are highly variable, but reliably above the minimum inhibitory concentration for the common anticipated pathogens in this setting. Further comparative trials in a larger number of patients are necessary before this mode of administration can be routinely advocated for prophylaxis.

Details

Language :
English
ISSN :
1060-0280
Volume :
35
Issue :
4
Database :
MEDLINE
Journal :
The Annals of pharmacotherapy
Publication Type :
Academic Journal
Accession number :
11302401
Full Text :
https://doi.org/10.1345/aph.10174