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  • Title: Netilmicin in human CSF after parenteral administration in patients with slightly and severely impaired blood CSF barrier.
    Author: Brückner O, Trautmann M, Kolodziejczyk D, Alexander M, Collmann H.
    Journal: J Antimicrob Chemother; 1983 Jun; 11(6):565-71. PubMed ID: 6885681.
    Abstract:
    After administration of 150 mg netilmicin samples of CSF and blood were obtained. In one group of nine patients with no or only slight impairment of the blood-CSF-barrier 29 samples of CSF were assayed for netilmicin concentrations. All samples, obtained after the first dose, failed to reveal detectable drug levels. Drug levels up to 0.18 mg/l were detected in samples of CSF of three patients after 3 to 22 doses. Only the lumbar CSF of one patient contained netilmicin concentrations higher than 1.0 mg/l. In comparison 19 samples of CSF, obtained from patients with meningitis after more than one dose of netilmicin, had levels of 0.27-5.0 mg/l. Three CSF samples from patients out of this group, collected after the first dose of netilmicin failed to show any drug activity.
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