Abstract
The reported high incidence of vitamin-K-reversible hypoprothrombinemia associated with the new beta-lactamase-stable cephalosporins prompted us to evaluate the effect on hemostasis of three cephalosporins (cefamandole, ceftriaxone, and ceftazidime) in 30 patients with serious infections. Cefamandole and ceftriaxone, both containing a sulfhydryl group, induced a significant and similar prolongation of prothrombin time and decrease in factor VII activity. Ceftazidime, in contrast, had no effect on these two parameters.
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- Bruch K. Hypoprothrombinaemia and cephalosporins. Lancet. 1983 Mar 5;1(8323):535–536. doi: 10.1016/s0140-6736(83)92226-2. [DOI] [PubMed] [Google Scholar]
- CHENEY K., BONNIN J. A. Haemorrhage, platelet dysfunction and other coagulation defects in uraemia. Br J Haematol. 1962 Jul;8:215–222. doi: 10.1111/j.1365-2141.1962.tb06514.x. [DOI] [PubMed] [Google Scholar]
- Chang J. C. Acquired coagulopathy owing to parenteral cefamandole: renal failure as a predisposing factor. Ann Clin Lab Sci. 1983 Sep-Oct;13(5):418–424. [PubMed] [Google Scholar]
- Frick P. G., Riedler G., Brögli H. Dose response and minimal daily requirement for vitamin K in man. J Appl Physiol. 1967 Sep;23(3):387–389. doi: 10.1152/jappl.1967.23.3.387. [DOI] [PubMed] [Google Scholar]
- Haubenstock A., Schmidt P., Zazgornik J., Balcke P., Kopsa H. Hypoprothrombobinaemic bleeding associated with ceftriaxone. Lancet. 1983 May 28;1(8335):1215–1216. doi: 10.1016/s0140-6736(83)92487-x. [DOI] [PubMed] [Google Scholar]
- Lipsky J. J. Mechanism of the inhibition of the gamma-carboxylation of glutamic acid by N-methylthiotetrazole-containing antibiotics. Proc Natl Acad Sci U S A. 1984 May;81(9):2893–2897. doi: 10.1073/pnas.81.9.2893. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lipsky J. J. N-methyl-thio-tetrazole inhibition of the gamma carboxylation of glutamic acid: possible mechanism for antibiotic-associated hypoprothrombinaemia. Lancet. 1983 Jul 23;2(8343):192–193. doi: 10.1016/s0140-6736(83)90174-5. [DOI] [PubMed] [Google Scholar]
- Neu H. C. The new beta-lactamase-stable cephalosporins. Ann Intern Med. 1982 Sep;97(3):408–419. doi: 10.7326/0003-4819-97-3-408. [DOI] [PubMed] [Google Scholar]
- Wold J. S., Buening M. K., Hanasono G. K. Latamoxef-associated hypoprothrombinaemia. Lancet. 1983 Aug 13;2(8346):408–408. doi: 10.1016/s0140-6736(83)90381-1. [DOI] [PubMed] [Google Scholar]