Penetration of moxifloxacin into sternal bone of patients undergoing routine cardiopulmonary bypass surgery

Int J Antimicrob Agents. 2006 Nov;28(5):428-32. doi: 10.1016/j.ijantimicag.2006.08.019. Epub 2006 Oct 10.

Abstract

This study investigated plasma and bone concentrations of moxifloxacin following a single intravenous dose of 400mg to consider its potential role in the treatment of osteomyelitis. Eight patients who underwent routine cardiopulmonary bypass surgery were enrolled in the study. Plasma and bone samples were collected 2h and 5h after the end of infusion. High performance liquid chromatography was used for the determination of moxifloxacin concentrations. Mean plasma concentrations were 3.36 microg/mL and 2.93 microg/mL at 2h and 5h after the end of infusion. The concentrations in the body and manubrium of the sternal bone were 1.65 microg/g and 1.64 microg/g at 2h and 1.4 microg/g and 1.45 microg/g at 5h, respectively. Moxifloxacin showed good penetration into bone and could be considered for the treatment of osteomyelitis.

Publication types

  • Clinical Trial

MeSH terms

  • Aged
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / blood
  • Anti-Bacterial Agents / pharmacokinetics
  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents / blood
  • Anti-Infective Agents / pharmacokinetics
  • Aza Compounds / administration & dosage
  • Aza Compounds / blood
  • Aza Compounds / pharmacokinetics*
  • Cardiopulmonary Bypass*
  • Chromatography, High Pressure Liquid
  • Female
  • Fluoroquinolones
  • Humans
  • Infusions, Intravenous
  • Male
  • Manubrium / chemistry
  • Manubrium / metabolism
  • Middle Aged
  • Moxifloxacin
  • Osteomyelitis / drug therapy
  • Quinolines / administration & dosage
  • Quinolines / blood
  • Quinolines / pharmacokinetics*
  • Sternum / chemistry
  • Sternum / metabolism*

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Aza Compounds
  • Fluoroquinolones
  • Quinolines
  • Moxifloxacin