Half-life of intracameral gentamicin after phacoemulsification
Identifieur interne : 004472 ( Istex/Corpus ); précédent : 004471; suivant : 004473Half-life of intracameral gentamicin after phacoemulsification
Auteurs : Ordan J. Lehmann ; John P. Thompson ; Les O. White ; Martin F. Keys ; Michael J. CampbellSource :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1997.
Abstract
Purpose: To determine the half-life of intracameral gentamicin administered during phacoemulsification.Setting: Southampton Eye Unit, Southampton General Hospital, England.Methods: Thirty-one patients having scleral tunnel phacoemulsification were given intracameral gentamicin in the irrigation fluid. Samples of fluid were taken from the anterior chamber at the end of the operation and at various times postoperatively. The concentration of gentamicin in the samples was determined by fluorescence polarization immunoassay and the half-life calculated for a single compartment model using a peeling algorithm.Results: The concentration of gentamicin in the anterior chamber after phacoemulsification decreased by half every 51 minutes (95% confidence interval, 42 to 66 minutes).Conclusion: Intracameral gentamicin was cleared from the anterior chamber after phacoemulsification at a rate that prevents the maintainance of the bactericidal levels required for reliable antibiotic prophylaxis.
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DOI: 10.1016/S0886-3350(97)80248-9
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<front><div type="abstract" xml:lang="en">Purpose: To determine the half-life of intracameral gentamicin administered during phacoemulsification.Setting: Southampton Eye Unit, Southampton General Hospital, England.Methods: Thirty-one patients having scleral tunnel phacoemulsification were given intracameral gentamicin in the irrigation fluid. Samples of fluid were taken from the anterior chamber at the end of the operation and at various times postoperatively. The concentration of gentamicin in the samples was determined by fluorescence polarization immunoassay and the half-life calculated for a single compartment model using a peeling algorithm.Results: The concentration of gentamicin in the anterior chamber after phacoemulsification decreased by half every 51 minutes (95% confidence interval, 42 to 66 minutes).Conclusion: Intracameral gentamicin was cleared from the anterior chamber after phacoemulsification at a rate that prevents the maintainance of the bactericidal levels required for reliable antibiotic prophylaxis.</div>
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<abstract>Purpose: To determine the half-life of intracameral gentamicin administered during phacoemulsification.Setting: Southampton Eye Unit, Southampton General Hospital, England.Methods: Thirty-one patients having scleral tunnel phacoemulsification were given intracameral gentamicin in the irrigation fluid. Samples of fluid were taken from the anterior chamber at the end of the operation and at various times postoperatively. The concentration of gentamicin in the samples was determined by fluorescence polarization immunoassay and the half-life calculated for a single compartment model using a peeling algorithm.Results: The concentration of gentamicin in the anterior chamber after phacoemulsification decreased by half every 51 minutes (95% confidence interval, 42 to 66 minutes).Conclusion: Intracameral gentamicin was cleared from the anterior chamber after phacoemulsification at a rate that prevents the maintainance of the bactericidal levels required for reliable antibiotic prophylaxis.</abstract>
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<abstract xml:lang="en"><p>Purpose: To determine the half-life of intracameral gentamicin administered during phacoemulsification.Setting: Southampton Eye Unit, Southampton General Hospital, England.Methods: Thirty-one patients having scleral tunnel phacoemulsification were given intracameral gentamicin in the irrigation fluid. Samples of fluid were taken from the anterior chamber at the end of the operation and at various times postoperatively. The concentration of gentamicin in the samples was determined by fluorescence polarization immunoassay and the half-life calculated for a single compartment model using a peeling algorithm.Results: The concentration of gentamicin in the anterior chamber after phacoemulsification decreased by half every 51 minutes (95% confidence interval, 42 to 66 minutes).Conclusion: Intracameral gentamicin was cleared from the anterior chamber after phacoemulsification at a rate that prevents the maintainance of the bactericidal levels required for reliable antibiotic prophylaxis.</p>
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<ce:copyright type="society" year="1997">American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright>
<ce:copyright-line>Copyright 1997 American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright-line>
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<head><ce:article-footnote><ce:note-para id="ntp005">Supported by the Sanofi Winthrop Foundation and the Iris Fund for the Prevention of Blindness.</ce:note-para>
</ce:article-footnote>
<ce:article-footnote><ce:note-para id="ntp010">None of the authors has a financial or proprietary interest in any product mentioned</ce:note-para>
</ce:article-footnote>
<ce:title id="ttl005">Half-life of intracameral gentamicin after phacoemulsification</ce:title>
<ce:author-group id="AUG005"><ce:author id="AUT005"><ce:given-name>Ordan J.</ce:given-name>
<ce:surname>Lehmann</ce:surname>
<ce:degrees>FRCOphth</ce:degrees>
<ce:cross-ref id="crr005" refid="aff1"><ce:sup>1</ce:sup>
</ce:cross-ref>
<ce:cross-ref id="crr010" refid="cor1"><ce:sup>*</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author id="AUT010"><ce:given-name>John P.</ce:given-name>
<ce:surname>Thompson</ce:surname>
<ce:degrees>MRCP</ce:degrees>
<ce:cross-ref id="crr015" refid="aff3"><ce:sup>3</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author id="AUT015"><ce:given-name>Les O.</ce:given-name>
<ce:surname>White</ce:surname>
<ce:degrees>PhD</ce:degrees>
<ce:cross-ref id="crr020" refid="aff5"><ce:sup>5</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author id="AUT020"><ce:given-name>Martin F.</ce:given-name>
<ce:surname>Keys</ce:surname>
<ce:degrees>FIBMS</ce:degrees>
<ce:cross-ref id="crr025" refid="aff2"><ce:sup>2</ce:sup>
</ce:cross-ref>
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<ce:author id="AUT025"><ce:given-name>Michael J.</ce:given-name>
<ce:surname>Campbell</ce:surname>
<ce:degrees>PhD</ce:degrees>
<ce:cross-ref id="crr030" refid="aff4"><ce:sup>4</ce:sup>
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<ce:affiliation id="aff1"><ce:label>1</ce:label>
<ce:textfn>The Southampton Eye Unit, England</ce:textfn>
<sa:affiliation><sa:organization>The Southampton Eye Unit</sa:organization>
<sa:country>England</sa:country>
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<sa:affiliation><sa:address-line>Public Health Library</sa:address-line>
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<ce:textfn>Southampton General Hospital, Clinical Pharmacology Group, England</ce:textfn>
<sa:affiliation><sa:address-line>Southampton General Hospital, Clinical Pharmacology Group</sa:address-line>
<sa:country>England</sa:country>
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<ce:textfn>Medical Statistics and Computing, England</ce:textfn>
<sa:affiliation><sa:address-line>Medical Statistics and Computing</sa:address-line>
<sa:country>England</sa:country>
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<ce:affiliation id="aff5"><ce:label>5</ce:label>
<ce:textfn>Southampton University, and Bristol Centre for Antimicrobial Research and Evaluation, Southmead Hospital, Bristol, England</ce:textfn>
<sa:affiliation><sa:address-line>Southampton University, and Bristol Centre for Antimicrobial Research and Evaluation, Southmead Hospital</sa:address-line>
<sa:city>Bristol</sa:city>
<sa:country>England</sa:country>
</sa:affiliation>
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<ce:correspondence id="cor1"><ce:label>*</ce:label>
<ce:text>Reprint requests to Ordan J. Lehmann, MD, Department of Ophtbalmology, Salisbury District Hospital, Salisbury Wiltshire SP2 8BJ, England.</ce:text>
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</ce:author-group>
<ce:abstract id="ab1"><ce:section-title id="SET005">Abstract</ce:section-title>
<ce:abstract-sec id="abs005"><ce:simple-para id="SP0005"><ce:bold>Purpose:</ce:bold>
To determine the half-life of intracameral gentamicin administered during phacoemulsification.</ce:simple-para>
<ce:simple-para id="SP0010"><ce:bold>Setting:</ce:bold>
Southampton Eye Unit, Southampton General Hospital, England.</ce:simple-para>
<ce:simple-para id="SP0015"><ce:bold>Methods:</ce:bold>
Thirty-one patients having scleral tunnel phacoemulsification were given intracameral gentamicin in the irrigation fluid. Samples of fluid were taken from the anterior chamber at the end of the operation and at various times postoperatively. The concentration of gentamicin in the samples was determined by fluorescence polarization immunoassay and the half-life calculated for a single compartment model using a peeling algorithm.</ce:simple-para>
<ce:simple-para id="SP0020"><ce:bold>Results:</ce:bold>
The concentration of gentamicin in the anterior chamber after phacoemulsification decreased by half every 51 minutes (95% confidence interval, 42 to 66 minutes).</ce:simple-para>
<ce:simple-para id="SP0025"><ce:bold>Conclusion:</ce:bold>
Intracameral gentamicin was cleared from the anterior chamber after phacoemulsification at a rate that prevents the maintainance of the bactericidal levels required for reliable antibiotic prophylaxis.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
</head>
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<mods version="3.6"><titleInfo lang="en"><title>Half-life of intracameral gentamicin after phacoemulsification</title>
</titleInfo>
<titleInfo type="alternative" lang="en" contentType="CDATA"><title>Half-life of intracameral gentamicin after phacoemulsification</title>
</titleInfo>
<name type="personal"><namePart type="given">Ordan J.</namePart>
<namePart type="family">Lehmann</namePart>
<namePart type="termsOfAddress">FRCOphth</namePart>
<affiliation>The Southampton Eye Unit, England</affiliation>
<affiliation>Reprint requests to Ordan J. Lehmann, MD, Department of Ophtbalmology, Salisbury District Hospital, Salisbury Wiltshire SP2 8BJ, England.</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">John P.</namePart>
<namePart type="family">Thompson</namePart>
<namePart type="termsOfAddress">MRCP</namePart>
<affiliation>Southampton General Hospital, Clinical Pharmacology Group, England</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Les O.</namePart>
<namePart type="family">White</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Southampton University, and Bristol Centre for Antimicrobial Research and Evaluation, Southmead Hospital, Bristol, England</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Martin F.</namePart>
<namePart type="family">Keys</namePart>
<namePart type="termsOfAddress">FIBMS</namePart>
<affiliation>Public Health Library, England</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Michael J.</namePart>
<namePart type="family">Campbell</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Medical Statistics and Computing, England</affiliation>
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<originInfo><publisher>ELSEVIER</publisher>
<dateIssued encoding="w3cdtf">1997</dateIssued>
<copyrightDate encoding="w3cdtf">1997</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
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<abstract lang="en">Purpose: To determine the half-life of intracameral gentamicin administered during phacoemulsification.Setting: Southampton Eye Unit, Southampton General Hospital, England.Methods: Thirty-one patients having scleral tunnel phacoemulsification were given intracameral gentamicin in the irrigation fluid. Samples of fluid were taken from the anterior chamber at the end of the operation and at various times postoperatively. The concentration of gentamicin in the samples was determined by fluorescence polarization immunoassay and the half-life calculated for a single compartment model using a peeling algorithm.Results: The concentration of gentamicin in the anterior chamber after phacoemulsification decreased by half every 51 minutes (95% confidence interval, 42 to 66 minutes).Conclusion: Intracameral gentamicin was cleared from the anterior chamber after phacoemulsification at a rate that prevents the maintainance of the bactericidal levels required for reliable antibiotic prophylaxis.</abstract>
<note>Supported by the Sanofi Winthrop Foundation and the Iris Fund for the Prevention of Blindness.</note>
<note>None of the authors has a financial or proprietary interest in any product mentioned</note>
<relatedItem type="host"><titleInfo><title>Journal of Cataract & Refractive Surgery</title>
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<titleInfo type="abbreviated"><title>JCRS</title>
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<genre type="Journal">journal</genre>
<originInfo><dateIssued encoding="w3cdtf">199707</dateIssued>
</originInfo>
<identifier type="ISSN">0886-3350</identifier>
<identifier type="PII">S0886-3350(97)X8223-9</identifier>
<part><detail type="volume"><number>23</number>
<caption>vol.</caption>
</detail>
<detail type="issue"><number>6</number>
<caption>no.</caption>
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<extent unit="issue pages"><start>811</start>
<end>962</end>
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<extent unit="pages"><start>883</start>
<end>888</end>
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<identifier type="istex">D738A383190636AFF0A4A09DCD91D8AEA4432FBD</identifier>
<identifier type="DOI">10.1016/S0886-3350(97)80248-9</identifier>
<identifier type="PII">S0886-3350(97)80248-9</identifier>
<identifier type="ArticleID">80248</identifier>
<accessCondition type="use and reproduction" contentType="">© 1997American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</accessCondition>
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