A micro-method was developed for determination of the concentrations of antibiotics in the mucous membranes of the maxillary sinus in man. At different times after the administration of antibiotics (potassium phenoxymethylpenicillin, lymecycline and bacampicillin) the concentration was determined in serum and in pieces of maxillary sinus mucosa obtained at operation. It was found that the concentrations in the mucosa varied within wide ranges during the first 60 minutes after the operation but in samples taken at 90 minutes the fluctuations between the individuals were within the standard error of the method. Concentrations well above the MIC values for the majority of bacterias found in sinusitis were registered in the peaks. Six hours after the administration considerable amounts of active antibiotics were still detected in the maxillary sinus mucosa.

Acute Disease↗

PubMed1978

Comparison of antibiotic assays using different experimental models and their possible clinical significance.

Different experimental models were applied to study the pharmacokinetics of antibiotics in "interstitial fluid" ("i.f.") in rabbits. Two types of tissue cages were used and the results from these experiments were compared with those obtained analysing the antibiotic concentration in the mucous membrane of the oral bucca and maxillary sinus in rabbits. A similar determination was done in the mucous membrane of sinus in man. The concentration of antibiotics in the "i.f." from steel-net chambers in rabbits closely follows that of the mucous membranes of the maxillary sinus in man and the oral bucca in rabbits. Experimental bacterial infections of the tissue cages resulted in decreased amounts of biologically active antibiotics in the "i.f." for some antibiotics compared to that of the uninfected cages. An increase of the concentration of antibiotics in the infected cages was noted simultaneously with a decrease in the number of viable bacteria during the healing process. The clinical significance of the models will be discussed.

Animals↗

PubMed1977

Origin of the translocated segment of the 14q+ marker in non-Burkitt lymphomas.

The cytogenetic findings by G-banding in two histiocytic lymphomas are described. Both tumors had a stemline with a 14q+ marker. The origin of the extra segment on No. 14 was determined, and it was different in the two cases. These observations, and those from non-Burkitt lymphomas with 14q+ markers reported in the literature, indicate an inconsistent pattern for the origin of the extra material on No. 14. The only feature in common for all cases is instability of the distal region of the long arm of No. 14, and liability of this region to be involved in structural rearrangements, particularly translocations.

Biopsy↗

PubMed1977