Experimental Study of The Pharmacokinetics of Cefotaxime with Joint Administration of Drugs with Hyaluronidase Activity
          
      
    
      
    
                        
              https://doi.org/10.24411/0235-2990-2019-100024
        
          
    
  
      
  
    
                
            Abstract
            It Is shown that the preliminary administration of drugs that promote the flow of antibiotics into the lymphatic system increases the clinical effectiveness of treatment. Currently, there is a need for experimental justification of this approach to antibacterial therapy. In this study, the effect of drugs with hyaluronidase activity on the rate of lymphatic tissue drainage and the pharmacokinetics of cefotaxime was studied. We determined the time of the removal of lymphotropic blue dye evans of the mesentery of mice when administered on the background of hyaluronidase and bovhyaluronidaze azoximer, the concentration of cefotaxime in the dynamics during the day in blood plasma of rabbits and in the blood plasma, the intestinal tissues and the liver of mice after 1.5 and 24 h after the co-administration of antibiotic with hyaluronidase and bolgelerinde anoxemia. It is found that the hyaluronidase, and bovhyaluronidaze azoximer are equieffective stimulants of lymphatic drainage of tissues. The data obtained indicate the presence of endolymphatic properties of the conductor not only on hyaluronidase, but at bovhyaluronidaze azoximer, additional properties which allow to consider it as a priority of the drug when conducting lymphotropic therapy.
         
              
        
                  
		  Conflicts of Interest Disclosure:
		  The authors declares that there is no conflict of interest.
       
              
		  Article info:
		  Date submitted: 06.05.2020
		  		  		         
              
                  All authors have read and approved the final manuscript.
        
       
              
		  Peer review info:
		  "Antibiot Khimioter = Antibiotics and Chemotherapy" thanks the anonymous reviewer(s) for their contribution to the peer review of this work.
       
    	      
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                  About the Authors
              
               
             M. V. Zhuravleva
         
        
                        Scientific Centre for Expert Evaluation of Medicinal Products of the Ministry of Health of the Russian Federation; I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
        
Russian Federation
    
				    
    
    
             
             G. V. Kukushkin
         
        
                        Pirogov Russian National Research Medical University Ministry of Health of the Russian Federation
        
Russian Federation
    
				    
    
    
             
             L. P. Sviridkina
         
        
                        N. I. Pirogov Russian National Research Medical University Ministry of Health of the Russian Federation
        
Russian Federation
    
				    
    
    
             
             D. E. Yurov
         
        
                        N. I. Pirogov Russian National Research Medical University Ministry of Health of the Russian Federation
        
Russian Federation
    
				    
    
    
             
             T. R. Kameneva
         
        
                        M. P. Konchalovsky City clinical hospital of Department of Health of Moscow
        
Russian Federation
    
				    
    
    
          
     
        
    
    
    
 
    
      For citations:
                                    Zhuravleva MV, 
                                Kukushkin GV, 
                                Sviridkina LP, 
                                Yurov DE, 
                                Kameneva TR.
                                              Experimental Study of The Pharmacokinetics of Cefotaxime with Joint Administration of Drugs with Hyaluronidase Activity.      Antibiotiki i Khimioterapiya = Antibiotics and Chemotherapy.            2019;64(5-6):9-12.  
                                                                                                      (In Russ.)
                                          
                                                  https://doi.org/10.24411/0235-2990-2019-100024                          
    
  
  
  
  
    
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