Edwards MS, Baker CJ, Butler KM, Mason EO, Laurent JP, Cheek WR. Penetration of cefuroxime into ventricular fluid in cerebrospinal fluid shunt infections.
Antimicrob Agents Chemother 1989;
33:1108-10. [PMID:
2782860 PMCID:
PMC176071 DOI:
10.1128/aac.33.7.1108]
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Abstract
The penetration of intravenously administered cefuroxime into ventricular fluid was assessed in five pediatric patients with ventriculoperitoneal shunt infections and in one with a ventriculostomy infection. Patients received a total dose of 200 to 230 mg of cefuroxime per kg of body weight per day administered at 8-h intervals. Levels of cefuroxime in ventricular fluid ranged from 1.6 to 22.5 micrograms/ml and were associated with cerebrospinal fluid bactericidal titers ranging from less than 1:2 to 1:16 against infecting staphylococcal isolates. Five infections were cured with cefuroxime monotherapy. On the basis of MIC data, one patient had vancomycin substituted for cefuroxime and the infection was cured.
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