Diffusion of Ofloxacin in the Endocarditis Vegetation Assessed with Synchrotron Radiation UV Fluorescence Microspectroscopy
2011

Studying How Ofloxacin Diffuses in Heart Infections

Sample size: 5 publication 10 minutes Evidence: moderate

Author Information

Author(s): Eric Batard, Frédéric Jamme, Sandrine Villette, Cédric Jacqueline, Marie-France de la Cochetière, Jocelyne Caillon, Matthieu Réfrégiers

Primary Institution: Université de Nantes

Hypothesis

The objective of this work was to assess the diffusion of ofloxacin in experimental endocarditis vegetation bacterial masses using synchrotron-radiation UV fluorescence microspectroscopy.

Conclusion

Ofloxacin diffuses into vegetation bacterial masses, but it accumulates in their immediate neighborhood.

Supporting Evidence

  • Ofloxacin-treated rabbit sera showed higher fluorescence intensities than control sera.
  • Ofloxacin concentrations in serum and vegetation were significantly higher in treated rabbits.
  • Fluorescence microscopy detected ofloxacin in the endocarditis vegetation despite the autofluorescence of the vegetation itself.

Takeaway

This study looked at how a medicine called ofloxacin spreads in infected heart tissue. It found that the medicine gets into the tissue but mostly stays close to the outside.

Methodology

Streptococcal endocarditis was induced in 5 rabbits, with 3 receiving ofloxacin and 2 serving as controls; fluorescence microscopy was used to assess antibiotic diffusion.

Limitations

The results may not directly apply to human patients as the study used a single high dose of ofloxacin in rabbits.

Participant Demographics

New Zealand white rabbits, weight: 2.0 to 2.7 kg.

Statistical Information

P-Value

0.004

Confidence Interval

95%

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1371/journal.pone.0019440

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