Fluconazole penetration into the pancreas

S. Shrikhande, H. Friess, C. Issenegger, M. E. Martignoni, H. Yong, B. Gloor, R. Yeates, J. Kleeff, M. W. Buchler

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

Because of antibiotic prophylaxis for necrotizing pancreatitis, the frequency of fungal superinfection in patients with pancreatic necrosis is increasing. In this study we analyzed the penetration of fluconazole into the human pancreas and in experimental acute pancreatitis. In human pancreatic tissues, the mean fluconazole concentration was 8.19 ± 3.38 μg/g (96% of the corresponding concentration in serum). In experimental edematous and necrotizing pancreatitis, 88 and 91% of the serum fluconazole concentration was found in the pancreas. These data show that fluconazole penetration into the pancreas is sufficient to prevent and/or treat fungal contamination in patients with pancreatic necrosis.

Original languageEnglish
Pages (from-to)2569-2571
Number of pages3
JournalAntimicrobial Agents and Chemotherapy
Volume44
Issue number9
DOIs
StatePublished - 2000
Externally publishedYes

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