• Critical care medicine · Jun 1984

    Comparative Study

    Pharmacokinetic assessment of immunosuppressive activity of antibiotics in human plasma by a modification of the mixed lymphocyte reaction.

    • C De Simone, L Pugnaloni, A Cilli, E M Forastieri, B Bernardini, G Delogu, and F Sorice.
    • Crit. Care Med. 1984 Jun 1; 12 (6): 483-5.

    AbstractAntibiotics may impair the development and expression of specific or nonspecific immune responses. Prophylactic administration of antibacterial antibiotics is widely used in ICUs. We studied the immunosuppressive activities of cefotaxime, chloramphenicol, gentamicin, metronidazole, and rifamycin as a function of time after the administration of these drugs to ICU patients, finding that the last 4 drugs had an immunosuppressive activity detectable up to 8 h by a mixed lymphocyte reaction. When these antimicrobial agents were added to normal pooled plasma in concentrations similar to those obtained in vivo, a similar degree of inhibition was observed.

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