Journal of Antimicrobial Chemotherapy, Vol 42, 95-98, Copyright © 1998 by The British Society for Antimicrobial Chemotherapy
R Fontana, M Aldegheri, M Ligozzi, G Lo Cascio and G Cornaglia
The binding of ceftriaxone, a cephalosporin that exhibits high serum
protein binding and prolonged serum half-life, to penicillin-binding
proteins (PBPs) of Escherichia coli K12 in the presence of human serum
albumin was compared with plasma concentrations of cefotaxime, a
cephalosporin with low serum protein binding and a short serum half- life.
Ceftriaxone concentrations equivalent to those maintained in plasma for 8 h
after an intravenous infusion of 1 g saturated PBPs 2 and 3. Cefotaxime
saturated both PBPs at concentrations equivalent to those maintained for 2
h, and PBP 3 only at concentrations maintained for 2-8 h. These results
indicate that high serum protein binding does not impair the ability of
ceftriaxone to inhibit essential PBPs, and explain the high in-vivo
efficacy of the drug.
ORIGINAL ARTICLES
Interaction of ceftriaxone with penicillin-binding proteins of Escherichia coli in the presence of human serum albumin
Istituto di Microbiologia, Universita di Verona, Italy.
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