Untersuchungen zum Ampicillin/Sulbactam-Spiegel im bestrahlten Unterkieferknochen bei Patienten mit oralen Plattenepithelkarzinomen

Research output: Journal contributionsJournal articlesResearchpeer-review

Authors

  • Hauke Heibel
  • Manfred Scheer
  • Tobias Reuther
  • Bernhard M. Hahn
  • Rainer Trittler
  • Hannes Egle
  • Klaus Kümmerer
  • Alexander C. Kübler

Introduction: Radiation therapy of the oral and maxillo-facial region increases the risk of an infected osteoradionecrosis (IORN) which is a severe complication. Therefore, perioperative antibiotics for the prophylaxis of ORN is a standard in clinical oncology. The combination therapy of ampicillin and sulbactam (Unacid) promises a good therapeutic and prophylactic outcome. Patients: We compared the concentration of Unacid in bone and blood specimens of 22 irradiated patients. All patients were irradiated with 39.6 Gy prior to surgery. The specimens were obtained during the operation 3 weeks after the end of the radiation therapy. Results: The concentration of ampicillin/sulbactam in the blood was 124.9/64.5 μ/ml. The bone specimens showed a concentration of ampicillin/sulbactam of 5.54/1.21 μg/g. The concentration of the antibiotic in the bone was three to four times lower than in non-irradiated patients. Nevertheless, this concentration exceeds the minimum inhibitory concentration for bacteria in the oral cavity such as streptcoccae (MHK 90<0.25 μg/ml) or staphylococcae (MHK 90=0.12-2.0 μg/ml). Conclusions: The results of this study suggest, that Unacid is an effective antibiotic in the prophylaxis of ORN in irradiated patients with head and neck tumors.

Translated title of the contributionAmpicillin and sulbactam concentrations in the irradiated mandible after oral squamous cell cancer
Original languageGerman
JournalOral and Maxillofacial Surgery
Volume9
Issue number4
Pages (from-to)214-219
Number of pages6
ISSN1865-1550
DOIs
Publication statusPublished - 07.2005
Externally publishedYes

    Research areas

  • Osteoradionecrosis , Ampicillin , Sulbactam, Preoperative radiotherapy , Mandible
  • Chemistry

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