TABLE 1.
| Antibiotic | CmaxS (μg/ml) | CL (ml/min/kg) | t1/2β (h) | V (liter/kg) | AUCS 0–12h (mg × h/liter) | Observed CmaxCSF (μg/ml) | AUCCSF 0–12h (mg × h/liter) | AUCCSF 0–12h/ AUCS 0–12h | Change in log CFU/ml | No. of leukocytes (1/μl) | Protein concn (μg/ml) | Lactate concn (mmol/liter) | NSE concn (μg/ml) | No. of apoptotic neuronsb (1/mm2) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ceftriaxone (n = 12), 20 mg/kg + 10 mg/kg/h | 88.1 ± 19.29 | 3.33 ± 1.7 | ND | ND | 918.5 ± 510.4 | 9.43 ± 5.72 | 60.3 ± 31.4 | 0.072 ± 0.032 | −0.34 ± 0.15 | 2,376 ± 1,562 | 4,183 ± 2,119 | 11.3 ± 5.5 | 153 ± 97 | 141 ± 39 |
| LY333328 | ||||||||||||||
| 1 mg/kg (n = 5) | 3.90 ± 1.51 | 0.58 ± 0.17 | 5.41 ± 0.95 | 0.26 ± 0.06 | 22.8 ± 5.6 | BQL | BQL | ND | 0.01 ± 0.11c | 1,215 ± 1,141 | 7,589 ± 1,995 | 13.6 ± 6.3 | 274 ± 143 | 106 ± 31 |
| 2.5 mg/kg (n = 5) | 10.64 ± 2.34 | 0.35 ± 0.07 | 7.77 ± 2.14 | 0.23 ± 0.05 | 76.1 ± 10.7 | 0.54 ± 0.19 | 3.39 ± 1.33 | 0.045 ± 0.019 | −0.26 ± 0.22 | 1,492 ± 369 | 6,681 ± 3,999 | 13.2 ± 5.6 | 136 ± 99 | 106 ± 29 |
| 10 mg/kg (n = 10) | 42.72 ± 11.92 | 0.41 ± 0.11 | 6.53 ± 1.86 | 0.22 ± 0.07 | 300.1 ± 84.8 | 0.76 ± 0.52 | 5.46 ± 4.28 | 0.018 ± 0.010d | −0.29 ± 0.21 | 2,147 ± 918 | 4,899 ± 2,243 | 14.9 ± 11 | 92 ± 69 | 121 ± 49 |
| 40 mg/kg (n = 2) | 48.77, 53.18 | 0.93, 1.14 | 10.28, 7.41 | 0.74, 0.73 | 409.1, 335.4 | 1.36, 0.54 | 10.04, 2.36 | 0.025, 0.007 | −0.51, −0.54 | 3,260, 3,421 | 5,197, 7,772 | 14.8, 17.6 | ND | ND |
CmaxS and CmaxCSF, maximum concentrations in serum and CSF, respectively; CL, clearance; t1/2β, half-life at β phase; V, volume of distribution; NSE, neuron-specific enolase; ND, not determined; BQL, below quantification limit. AUC ratios were lower in LY333328-treated rabbits. LY333328 at 1 mg/kg was less active than ceftriaxone. Density of leukocytes, concentrations of protein and lactate in CSF, and parameters of neuronal damage showed no significant difference between ceftriaxone- and LY333328-treated animals. Because of the low number of observations, animals treated with 40 mg of LY333328/kg were not included in the statistical analysis.
In the dentate gyrus of the hippocampus.
P < 0.05 versus ceftriaxone.
P < 0.001 versus ceftriaxone.