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• W2002598587 abstract "Regional limb perfusion ( RLP ) significantly decreases morbidity and mortality associated with distal limb injuries in horses. There is an urgent need for finding additional effective antimicrobial drugs for use in RLP . In this study, we tested the pharmacokinetics ( PK ) of chloramphenicol in RLP . Eight horses participated in the study, which was approved by the U niversity A nimal C are and U se C ommittee. The cephalic and the saphenous veins were used to perfuse the limbs. Synovial samples were collected from the metacarpo/metatarsophalangeal ( MCP / MTP ) joint. The F riedman T est was applied for assessing change in PK concentration over time, for all time points. The W ilcoxon S igned R anks T est was used to test the difference between PK concentration in joint & serum as well as concentration in joint vs. MIC . The comparison of measurements between measurements taken on hind vs. front legs was carried out using the M ann– W hitney T est. A P ‐value of 5% or less was considered statistically significant. After RLP , the concentration of chloramphenicol in the synovial fluid of the MCP / MTP joint using either the cephalic or the saphenous vein was initially far above the minimal inhibitory concentration ( MIC ) of most susceptible pathogens and remained above the MIC for approximately 6 h. The results indicate that performing RLP using the cephalic and saphenous veins enables reaching concentrations of chloramphenicol in the MCP / MTP joint that are well above the MIC of most susceptible pathogens. The chloramphenicol concentrations achieved in the synovial fluid of the MCP / MTP joint in the current study were between 1.5 ( MTP ) and 7 ( MCP ) times the MIC of MRSA in horses. These results are encouraging since MRSA infections are becoming far more common, causing considerable morbidity. To the best of our knowledge, this is the first study to evaluate the pharmacokinetics of chloramphenicol following RLP in the horse and the results are positive." @default.
• W2002598587 created "2016-06-24" @default.
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• W2002598587 date "2014-07-30" @default.
• W2002598587 modified "2023-10-03" @default.
• W2002598587 title "Evaluation of regional limb perfusion with chloramphenicol using the saphenous or cephalic vein in standing horses" @default.
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• W2002598587 doi "https://doi.org/10.1111/jvp.12140" @default.
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