Tissue Penetration of Clindamycin in Diabetic Foot Infections
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Serum and tissue samples were obtained during surgery from four diabetics with neuropathy who underwent debridement or amputation for foot infections while receiving clindamycin 600 or 900 mg iv. Clindamycin concentrations were assayed by radioimmunoassay. Clindamycin was detected in all serum and tissue samples (range: 0.04-2.8 mg/kg in tissues and 1.1-11.1 mg/L in serum). In nine of the eleven tissue samples the clindamycin concentration exceeded the MICs reported for many pathogens commonly involved in such infections. In only a single instance was the ratio of tissue to serum concentration < 0.13.
Eleftheriotis G, Marangos M, Lagadinou M, Bhagani S, Assimakopoulos S Microorganisms. 2023; 11(12).
PMID: 38138148 PMC: 10745436. DOI: 10.3390/microorganisms11123004.
Salm J, Bohme T, Noory E, Beschorner U, Kramer T, Westermann D PLoS One. 2023; 18(8):e0290103.
PMID: 37566601 PMC: 10420368. DOI: 10.1371/journal.pone.0290103.
Repurposing of existing antibiotics for the treatment of diabetes mellitus.
Alam M, Uddin M, Shamsuddin T, Rubayed M, Sharmin T, Akter R In Silico Pharmacol. 2022; 10(1):4.
PMID: 35273901 PMC: 8898203. DOI: 10.1007/s40203-021-00118-6.
Antibiotics in Necrotizing Soft Tissue Infections.
Urbina T, Razazi K, Ourghanlian C, Woerther P, Chosidow O, Lepeule R Antibiotics (Basel). 2021; 10(9).
PMID: 34572686 PMC: 8466904. DOI: 10.3390/antibiotics10091104.
Price B, Lovering A, Bowling F, Dobson C Antimicrob Agents Chemother. 2016; 60(11):6880-6889.
PMID: 27620475 PMC: 5075099. DOI: 10.1128/AAC.01064-16.