Tissue penetration of antimicrobials

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Class Antimicrobial Blood CNS Urine Necrotic
Antibiotics
Penicillins β-lactamase inhibitors NO
ampicillin YES NO
Cephalosporins first-generation cephalosporins NO NO
second-generation cephalosporins NO
cefepime YES
ceftazidime YES YES
Cephamycins cephamycins NO
cefoxitin NO
Carbapenems imipenem YES
Aminoglycosides NO
Fluoroquinolones NO? YES
Lincosamides clindamycin NO YES
Macrolides NO
Nitroimidazoles metronidazole YES
Tetracyclines tetracyclines NO
doxycycline YES
Chloramphenicol chloramphenicol YES
Antifungals
Azoles fluconazole YES

References

  1. ^  Cornelia B. Landersdorfer, Jürgen B. Bulitta, Martina Kinzig, Ulrike Holzgrabe, Fritz Sörgel. Penetration of Antibacterials into Bone. Clinical Pharmacokinetics. 2009;48(2):89-124. doi:10.2165/00003088-200948020-00002.
  2. ^  L. Brockhaus, D. Goldblum, L. Eggenschwiler, S. Zimmerli, C. Marzolini. Revisiting systemic treatment of bacterial endophthalmitis: a review of intravitreal penetration of systemic antibiotics. Clinical Microbiology and Infection. 2019;25(11):1364-1369. doi:10.1016/j.cmi.2019.01.017.