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. 2014 Apr 1;18(5):526–534. doi: 10.1016/j.bjid.2013.12.005

Table 3.

Bone penetration of antibiotics.

Antibiotic Time interval since last dose (h) Bone/serum concentration ratio
Amoxycillin 2 0.17–0.31
Amoxycillin + clavulanate 0.5–6 0.01–0.09
Ampicillin 0.25–4 0.11–0.71
Sulbactam 0.25–4 0.11–0.71
Piperacillin 1 0.18–0.23
Tazobactam 1 0.22–0.26
Oxacillin 1 0.11
Ertapenem 1.6–23.8 0.13–0.19
Ceftriaxone 0.2–8 0.07–0.17
Cefazolin 0.9 0.17
Cefepime 1–2 0.46–0.76
Ceftazidime 2 0.54
Erythromycin 0.25–2 0.18–0.28
Azithromycin 0.5–6.5 days 2.5–6.3
Clindamycin 1–2 0.21–0.45
Rifampin 2–14 0.08–0.56
Rifampin (osteomyelitis) 3.5–4.5 0.57
Tigecycline 4–24 0.35–1.95
Levofloxacin 0.7–2 0.36–1.0
Ciprofloxacin 0.5–13 0.27–1.2
Ciprofloxacin (osteomyelitis) 2–4.5 0.42
Vancomycin 0.7–6 0.05–0.67
Vancomycin (osteomyelitis) 1–7 0.27
Linezolid 0.5–1.5 0.4–0.51
Linezolid (osteomyelitis) 0.9 0.23
Daptomycin 2 1.08
Teicoplanin 4–16 0.5–0.64

Adapted from Refs. 40, 42.