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. 2022 Mar 29;11(4):458. doi: 10.3390/antibiotics11040458

Table 3.

Stability of antibiotics in polyisoprene elastomeric devices for use in OPAT at 37 °C measured by HPLC.

Mean % of Initial Concentration ± RSD *
Antibiotic Conc. Solvent NS/D5W T0 h T6 h T8 h T12 h T24 h T48 h
Aztreonam 50 mg/mL NS ** 100.0 ± 1.97 - - - 102.5 ± 3.39 100.2 ± 2.17
D5W *** 100.0 ± 1.64 - - - 101.7 ± 1.67 95.3 ± 2.96
Cefazolin 50 mg/mL NS Unstable, precipitate formation during pre-study
D5W
Cefepim 50 mg/mL NS 100.0 ± 1.43 93.2 ± 2.00 - - 83.3 ± 2.28 59.5 ± 2.21
Cefiderocol Unrealized in elastomeric device
Cefotaxime 25 mg/mL NS Unstable, colour change after 6 h during pre-study
D5W
Cefoxitine 25 mg/mL NS Unstable, Colour change after 12 h during pre-study
D5W
Ceftazidime 25 mg/mL NS 100.0 ± 3.22 - 95.2 ± 1.56 - 85.6 ± 2.24 -
D5W 100.0 ± 2.94 - 94.8 ± 3.29 - 77.5 ± 1.94 -
Ceftazidime 25 mg/mL NS 100.0 ± 3.35 - - 92.2 ± 2.86 82.3 ± 2.28 66.3 ± 1.90
D5W 100.0 ± 7.35 - - 86.2 ± 6.54 75.4 ± 7.53 58.1 ± 8.56
Avibactam 6.25 mg/mL NS 100.0 ± 4.59 - - 98.4 ± 4.08 96.5 ± 2.95 93.9 ± 2.95
D5W 100.0 ± 7.81 - - 95.4 ± 6.92 93.9 ± 7.46 90.3 ± 8.35
Ceftozolane 25 mg/mL NS 100.0 ± 1.80 - 100.0 ± 1.20 - 91.8 ± 0.95 81.4 ± 3.67
D5W 100.0 ± 0.99 - 97.5 ± 0.85 - 89.3 ± 2.11 81.7 ± 6.02
Tazobactam 12.5 mg/mL NS 100.0 ± 2.08 - 104.6 ± 1.47 - 109.2 ± 1.33 116.7 ± 3.02
D5W 100.0 ± 0.99 - 103.1 ± 0.82 - 109.5 ± 1.33 116.6 ± 1.83
Cloxacillin 50–100 mg/mL NS Unstable, precipitate formation during pre-study
D5W
Meropenem Unrealized in elastomeric device
Piperacillin 66.7 mg/mL NS Unstable, precipitate formation during pre-study
D5W
Piperacilline 66.7 mg/mL NS 100.0 ± 2.17 - 98.5 ± 0.46 - 93.6 ± 1.06 85.7 ± 1.92
D5W 100.0 ± 0.74 - 97.9 ± 0.87 - 93.6 ± 0.60 84.1 ± 0.17
Tazobactam 8.3 mg/mL NS 100.0 ± 2.26 - 98.9 ± 0.53 - 97.0 ± 0.93 96.2 ± 1.58
D5W 100.0 ± 0.78 - 98.7 ± 0.90 - 98.2 ± 0.55 95.8 ± 0.25
Temocillin 25 mg/mL NS 100.0 ± 2.37 - - - 92.6 ± 2.95 80.4 ± 2.84
D5W 100.0 ± 2.36 - - - 87.5 ± 2.23 78.8 ± 2.61
Vancomycin 37.5 mg/mL NS 100.0 ± 2.06 - - - 97.9 ± 2.91 98.3 ± 3.26
D5W 100.0 ± 2.70 - - - 101.0 ± 1.61 103.3 ± 1.54

* RSD: Relative standard deviation; ** NS: Normal Saline, *** D5W: Dextrose 5%.