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. 1977 Aug;12(2):231–236. doi: 10.1128/aac.12.2.231

Maternal-Fetal Pharmacology of Cefatrizine in the First 20 Weeks of Pregnancy

Betty Bernard *, Paul Thielen *, Salvador J Garcia-Cázares *,1, Charles A Ballard *
PMCID: PMC429890  PMID: 900920

Abstract

To evaluate maternal-fetal pharmacology of cefatrizine (BL-S 640), a new oral cephalosporin, a single oral 1,000-mg dose was administered to 33 gravidas (8 to 20 weeks' gestation) at varying intervals within 46 h of an elective therapeutic abortion by hysterectomy or intra-amniotic prostaglandin F2a induction. Mean maternal serum concentrations at 1, 2, 4, and 8 h were 3.7, 7.9, 6.5, and 1.6 μg/ml; beyond a 3-h peak, a half-life of 2.4 h was determined. Cefatrizine placental half-life was 4.4 h. None of the 11 fetuses from a prostaglandin F2a abortion revealed cefatrizine activity; in contrast, 17 of 22 fetuses from a surgical abortion demonstrated cefatrizine concentrations in two or more samples. Fetal cefatrizine levels were less than 3 μg/g or μg/ml in kidney and urine, less than 2 μg/ml in serum and bile, and less than 2.5 μg/g in lung. After a single maternal dose, cefatrizine has a wide distribution in the fetus in the first half of gestation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERLIN N. I., GOETSCH C., HYDE G. M., PARSONS R. J. The blood volume in pregnancy as determined by P32 labeled red blood cells. Surg Gynecol Obstet. 1953 Aug;97(2):173–176. [PubMed] [Google Scholar]
  2. Bennett J. V., Brodie J. L., Benner E. J., Kirby W. M. Simplified, accurate method for antibiotic assay of clinical specimens. Appl Microbiol. 1966 Mar;14(2):170–177. doi: 10.1128/am.14.2.170-177.1966. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Forfar J. O., Nelson M. M. Epidemiology of drugs taken by pregnant women: drugs that may affect the fetus adversely. Clin Pharmacol Ther. 1973 Jul-Aug;14(4):632–642. doi: 10.1002/cpt1973144part2632. [DOI] [PubMed] [Google Scholar]
  4. Hill R. M. Drugs ingested by pregnant women. Clin Pharmacol Ther. 1973 Jul-Aug;14(4):654–659. doi: 10.1002/cpt1973144part2654. [DOI] [PubMed] [Google Scholar]
  5. Hirsch H. A. The use of cephalosporin antibiotics in pregnant women. Postgrad Med J. 1971 Feb;47(Suppl):90–93. [PubMed] [Google Scholar]
  6. Iffy L., Jakobovits A., Westlake W., Wingate M., Caterini H., Kanofsky P., Menduke H. Early intrauterine development: I. The rate of growth of Caucasian embryos and fetuses between the 6th and 20th weeks of gestation. Pediatrics. 1975 Aug;56(2):173–186. [PubMed] [Google Scholar]
  7. Kaplan J. M., McCracken G. H., Jr, Snyder E. Influence of methodology upon apparent concentrations of antibiotics in tissue. Antimicrob Agents Chemother. 1973 Feb;3(2):143–146. doi: 10.1128/aac.3.2.143. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Leitner F., Buck R. E., Misiek M., Pursiano T. A., Price K. E. BL-S 640, a cephalosporin with a broad spectrum of antibacterial activity: properties in vitro. Antimicrob Agents Chemother. 1975 Mar;7(3):298–305. doi: 10.1128/aac.7.3.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Leitner F., Chisholm D. R., Tsai Y. H., Wright G. E., Deregis R. G., Price K. E. BL-S640, a cephalosporin with a broad spectrum of antibacterial activity: bioavailability and therapeutic properties in rodents. Antimicrob Agents Chemother. 1975 Mar;7(3):306–310. doi: 10.1128/aac.7.3.306. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Lindheimer M. D., Katz A. I. Pregnancy and the kidney. J Reprod Med. 1973 Jul;11(1):14–18. [PubMed] [Google Scholar]
  11. MacAulay M. A., Charles D. Placental transfer of cephalothin. Am J Obstet Gynecol. 1968 Apr;100(7):940–946. doi: 10.1016/s0002-9378(15)33753-4. [DOI] [PubMed] [Google Scholar]
  12. Overturf G. D., Ressler R. L., Marengo P. B., Wilkins J. In vitro evaluation of BL-S640, a new oral cephalosporin antibiotic. Antimicrob Agents Chemother. 1975 Sep;8(3):305–310. doi: 10.1128/aac.8.3.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Philipson A., Sabath L. D., Charles D. Transplacental passage of erythromycin and clindamycin. N Engl J Med. 1973 Jun 7;288(23):1219–1221. doi: 10.1056/NEJM197306072882307. [DOI] [PubMed] [Google Scholar]
  14. Watanakunakorn C., Bannister T., Glotzbecker C. Susceptibility of clinical isolates of Enterobacteriaceae to BL-S640, a new oral cephalosporin. Antimicrob Agents Chemother. 1975 Mar;7(3):381–385. doi: 10.1128/aac.7.3.381. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. del Busto R., Haas E., Madhaven T., Burch K., Cox F., Fisher E., Quinn E., Pohlod D. In vitro and clinical studies of cefatrizine, a new semisynthetic cephalosporin. Antimicrob Agents Chemother. 1976 Mar;9(3):397–405. doi: 10.1128/aac.9.3.397. [DOI] [PMC free article] [PubMed] [Google Scholar]

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