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J Vet Sci. 2006 Jun;7(2):151-155 |
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Influence of endotoxin induced fever on the pharmacokinetics of intramuscularly administered cefepime in rabbits
Ayman Goudah1, Samar M. Mouneir1, Jae-Han Shim2, A. M. Abd El-Aty1,2,* |
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1Department of Pharmacology, Faculty of Veterinary Medicine, Cairo University, 12211-Giza, Egypt. abdelaty44@hotmail.com
2Natural Products Chemistry Laboratory, Division of Applied Bioscience and Biotechnology, College of Agriculture and Life Science, Chonnam National University, Gwangju 500-757, Korea |
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This study examined the effect of experimentally
induced fever on the pharmacokinetics of cefepime
(75 mg/kg BW) administered intramuscularly to six
rabbits. The study was carried out in two consecutive
phases separated by a two-week washout period. An
infection was induced by an intravenous inoculation of
5 × 108 colony-forming units of Escherichia coli 24 h
before the pharmacokinetic investigation. A quantitative
microbiological assay was employed to measure the plasma
cefepime concentrations using an agar-gel diffusion
method with Bacillus subtilis ATCC 6633 as the test
organism. Twenty-four hour after the injection, the rectal
temperature in the infected animals increased by 1°C.
There was a significant reduction in the elimination halflife
by 21.8% in the febrile rabbits compared to healthy
animals. In addition, the infection significantly increased
the peak plasma concentrations by 11.9%, the mean
residence time by 19.9%, the area under the plasmaconcentration-
time curve by 53.6% and the area under
the moment curve by 62.3%. In conclusion, the
endotoxin-induced febrile state produced significant
changes in the plasma levels as well as some of the
pharmacokinetic variables of cefepime in rabbits.
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