The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.
Kinetic study of serum penicillin concentrations after single doses of benzathine and benethamine penicillins in young and old people.
Open accessAbstract
In a comparative kinetic study of the serum concentrations of two penicillin complexes--medium-long-acting (benethamine penicillin) and long-acting (benzathine bipenicillin)--after a single injection in young adults and elderly people, the following results were confirmed statistically: (a) age was a major factor in the variations in serum penicillin concentrations and in their persistence in the serum; (b) the penicillin was absorbed faster in young than in elderly subjects even when a long-acting complex was used; (c) serum concentrations below the level regarded as lethal for treponemes appeared much earlier and more frequently in young than in old people; and (d) the bioequivalence between penicillin preparations could not be estimated solely for the number of units of the agent used but from the bioavailability of the chosen formulation. Thus a uniform and standard penicillin dosage allowing no safety margin may help in the superficial healing of a syphilitic chancre or the resolution of a roseola but it will certainly be insufficient to kill Treponema pallidum. It seems essential therefore to provide an antibiotic cover at high dosage over a long period of time.
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“Pharmacologic considerations indicate that an interval of 7–9 days between doses, if feasible, might be preferred (610–612).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [610]
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Cites
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Cited by
Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Frentz, G., Nielsen, P. B., Espersen, F., Czartoryski, A., & Aastrup, H. (1984) · European Journal of Clinical Microbiology · doi:10.1007/bf02014334 · Cited by 19
Metadata
- Authors
- Collart, P., Poitevin, M., Milovanovic, A., Herlin, A., & Durel, J.
- Affiliations
- Institut Alfred Fournier (FR)
- Venue
- Sexually Transmitted Infections
- Publisher
- BMJ
- Published
- 1980-12-01
- Volume
- 56
- Issue
- 6
- Pages
- 355-362
- ISSN
- 0007-134X (ISSN-L)
- 1368-4973
- PMC
- PMC1045831
- OpenAlex
- W1976544368
- Cited by
- 22
- References
- 44
- Citations by year
- 2023: 3 · 2021: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sexually Transmitted Infections (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Antibiotics Pharmacokinetics and Efficacy
- Health Sciences › Medicine › Infectious Diseases › Syphilis Diagnosis and Treatment
- Health Sciences › Medicine › Pharmacology (medical) › Historical Medical Research and Treatments
- Keywords
- benzathine penicillin, pharmacokinetics, age differences, elderly patients, bioequivalence, bioavailability, Treponema pallidum, syphilis, chancre, roseola, antibiotic dosing
- MeSH terms
- Adult, Age Factors, Aged, Biological Availability, Drug Administration Schedule, Female, Humans, Kinetics, Male, Middle Aged, Penicillin G, Penicillin G Benzathine, Penicillins, Syphilis
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