TABLE 2.
Mean vancomycin concentrations in serum and CSF during the first 12 h of treatment in rabbits receiving a single dose of dexamethasone
Regimen | Groupa | Compartment | Mean ± SD concn (μg/ml) at the following time intervals (h) after administration of initial doseb:
|
||||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 6 | 9 | 12 | |||
Vancomycin at 20 mg/kg every 6 h + DXMc at 1 mg/kg | 1 (7) | Serum | 22.8 ± 3.3 | 14.7 ± 7.1 | 7.4 ± 2.2 | 5.9 ± 3.3 | 3.9 ± 3.5 | ||
CSF | 0.8 ± 0.5 | 1.0 ± 0.6 | 1.1 ± 0.7 | 1.1 ± 0.8 | 1.2 ± 1.0 | ||||
2 (7) | Serum | 1.4 ± 1.2 | 9.2 ± 6.4 | 4.1 ± 4.8 | |||||
CSF | 0.7 ± 0.6 | 1.1 ± 0.8 | 1.1 ± 0.8 | ||||||
Vancomycin at 40 mg/kg every 12 h + DXM at 1 mg/kg | 1 (4) | Serum | 47.4 ± 9.5 | 26.5 ± 3.3 | 16.4 ± 5.8 | 13.2 ± 5.2 | 7.2 ± 3.1 | ||
CSF | 1.8 ± 1.6 | 2.2 ± 2.1 | 2.0 ± 1.7 | 1.8 ± 1.3 | 1.4 ± 1.3 | ||||
2 (6) | Serum | 3.6 ± 4.2 | 1.2 ± 1.7 | 0.7 ± 0.9 | |||||
CSF | 1.0 ± 0.6 | 0.5 ± 0.1 | 0.5 ± 0.2 |
Animals received either one (40-mg/kg) or two (20-mg/kg) doses of vancomycin and received one (1-mg/kg) dose of dexamethasone at the initiation of therapy. CSF and blood were obtained at 1, 2, 3, 4, and 6 h after administration of the initial dose for group 1 and at 6, 9, and 12 h after the administration of the initial dose for group 2. Numbers in parentheses represent the numbers of animals per group for each treatment regimen.
See Materials and Methods for methods of calculation of mean values.
DXM, dexamethasone.