Pharmacokinetics, pharmacodynamics, and local tolerance at injection site of penicillin and gentamicin administered by intravenous regional limb perfusion in standing horses: comparison between weightbearing and flexed limbs

These findings suggest that daily IVRLP with NaBP (7,333 IU/kg of BP) could be an effective treatment for distal limb infections caused by susceptible bacteria with a MIC of ≤ 2 µg/mL, with only mild local inflammation at the injection site. IVRLP with 2.2 mg/kg gentamicin appears effective for treating infections involving susceptible bacteria with an MIC of ≤ 16 µg/mL. Performing IVRLP on a weightbearing limb resulted in higher antibiotic exposure in the metacarpophalangeal joint and better tolerance than the flexed limb method.

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Publication Details

Journal
BMC Veterinary Research
Published
2025-11-07
DOI
https://doi.org/10.1186/s12917-025-04936-0
Primary Topic
Antibiotics Pharmacokinetics and Efficacy
Type
article
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article

Pharmacokinetics, pharmacodynamics, and local tolerance at injection site of penicillin and gentamicin administered by intravenous regional limb perfusion in standing horses: comparison between weightbearing and flexed limbs

Marlène Z. Lacroix, Alain Bousquet‐mélou, Béatrice B. Roques, Élodie Lallemand et al.
BMC Veterinary Research
Antibiotics Pharmacokinetics and Efficacy
article

Pharmacokinetics, pharmacodynamics, and local tolerance at injection site of penicillin and gentamicin administered by intravenous regional limb perfusion in standing horses: comparison between weightbearing and flexed limbs

Marlène Z. Lacroix, Alain Bousquet‐mélou, Béatrice B. Roques, Élodie Lallemand, Michel Guillot, C. Mespoulhès‐Rivière
article en

Abstract

These findings suggest that daily IVRLP with NaBP (7,333 IU/kg of BP) could be an effective treatment for distal limb infections caused by susceptible bacteria with a MIC of ≤ 2 µg/mL, with only mild local inflammation at the injection site. IVRLP with 2.2 mg/kg gentamicin appears effective for treating infections involving susceptible bacteria with an MIC of ≤ 16 µg/mL. Performing IVRLP on a weightbearing limb resulted in higher antibiotic exposure in the metacarpophalangeal joint and better tolerance than the flexed limb method.

BMC Veterinary ResearchVol. 21(1)
École Nationale Vétérinaire d'Alfort (FR), École Nationale Vétérinaire de Toulouse (FR), Université Fédérale de Toulouse Midi-Pyrénées (FR), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR)
Openalex Percentile: Top 63%
Antibiotics Pharmacokinetics and Efficacy
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Pharmacokinetics, pharmacodynamics, and local tolerance at injection site of penicillin and gentamicin administered by intravenous regional limb perfusion in standing horses: comparison between weightbearing and flexed limbs — Marlène Z. Lacroix, Alain Bousquet‐mélou, et al. · BMC Veterinary Research (2025) | TGRS Research Map | TGRS