Assessment of new cephem antibiotics cefoselis in mandibular tissue.

Accession number;00A0360409
Title;Assessment of new cephem antibiotics cefoselis in mandibular tissue.
Author; NAKAGAWA KIYOMASA (Sch. of Med., Kanazawa Univ.) KURIYAMA TOMOARI (Sch. of Med., Kanazawa Univ.) YAMAMOTO ETSUHIDE (Sch. of Med., Kanazawa Univ.)
Journal Title;Japanese Journal of Chemotherapy
Journal Code:F0608A
ISSN:1340-7007
VOL.48;NO.3;PAGE.191-194(2000)
Figure&Table&Reference;FIG.1, TBL.2, REF.28
Pub. Country;Japan
Language;Japanese
Abstract;A clinical investigation of a new cephem antibiotic, cefoselis (CFSL), was carried out. The tissue concentration of this drug was examined in plasma, gingiva, and cortical bone of mandible. Intravenous injection of 1 g CFSL was administered for 60 minutes to 10 volunteer patients. Assessment was completed in 9 patients with 1 drop out. The mean value of plasma concentration was 32.6.MU.g/mL and ranged from 22.0 to 46.0.MU.g/mL immediately after injection. However, the mean concentration value was 18.3.MU.g/mL and ranged from 8.82 to 29.2.MU.g/mL one hour after injection. The half time noted was 79.05 minutes. The mean value of mandibular gingiva concentration was 17.3.MU.g/g and ranged from 8.34 to 27.10.MU.g/g one hour after injection. The overall concentration ratio of gingiva/plasma was 99.5%. Alternatively, the mean value of mandibular cortical concentration was 2.8.MU.g/g and ranged from 0.45 to 7.25.MU.g/g one hour after injection. The overall concentration ratio of the mandible/plasma was 21.2%. These results indicate a superior value in tissue concentration of CFSL compared to other cephems, and no major postinjection complication. Furthermore, the present study suggests that CFSL attains a high mandibular tissue concentration. In conclusion, CFSL is effective in the treatment of oral and maxillofacial infections. (author abst.)