Summary
The effects of ciprofloxacin, a new quinolone derivative with high activity on gram-negative aerobic bacteria and gram-positive cocci, on haemostasis were investigated in 11 healthy volunteers. No influence on platelet function was detectable. In some cases a slight reduction in antithrombin III activity was observed at the end of the therapy. No other changes were evident in the plasma coagulation parameters.
Zusammenfassung
Bei 11 gesunden Probanden wurde die Wirkung von Ciprofloxacin, einem neuen Derivat aus der Reihe der Chinolone mit hoher Aktivität gegenüber gramnegativen, aeroben Bakterien und grampositiven Kokken, auf die Hämostase untersucht. Eine Beeinflussung der Thrombozytenfunktion war nicht nachweisbar. In der plastischen Gerinnung fand sich bei einigen Probanden ein leichter Abfall des Antithrombin III am Therapieende, ansonsten kam es zu keinen signifikanten Änderungen der Parameter.
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Literature
Andrassy, K., Ritz, E., Hasper, B., Scherz, M., Walter, E., Storch, H. Penicillin-induced coagulation disorder. Lancet II (1976) 1039–1041.
Brown, C. H., Bradshaw, M. W., Natelson, E. A., Alfrey, C. P., Williams, T. W. Defective platelet function following the administration of penicillin compounds. Blood 47 (1976) 949–956.
Fleming, A., Fish, E. W. Influence of penicillin on the coagulation of blood with special reference to certain dental operations. Br. Med. J. II (1947) 242–243.
Shattil, S. J., Bennet, J. S., McDonough, M., Turnbull, J. Carbenicillin and penicillin G inhibit platelet functionin vitro by impairing the interactions of agonists with the platelet surface. J. Clin. Invest. 65 (1980) 329–337.
Copelan, E. A., Kusumi, R. K., Miller, L., Fass, R. J. A comparison of the effects of mezlocillin and carbenicillin on hemostasis in volunteers. J. Antimicrob. Chemother. 11 (Suppl. C) (1983) 43–49.
Dijkmans, B. A. C., van der Meer, J. W., Boekhout-Mussert, M. J., Zaal-De Jong, M., Mattie, H. Prolonged bleeding time during azlocillin therapy. J. Antimicrob. Chemother. 6 (1980) 554–556.
Bang, N. U., Tessler, S. S., Heidenreich, R. O., Marks, C. A., Mattler, L. E. Effects of moxalactam on blood coagulation and platelet function. Rev. Infect. Dis. 4 (Suppl.) (1982) S546-S554.
Bang, N. U., Kammer, R. B. Hematologic complications associated with beta-lactam antibiotics. Rev. Infect. Dis. 5 (Suppl. 2) (1983) S380-S393.
Cazenave, J. P., Guccione, M. A., Packham, M. A., Mustard, J. F. Effects of cephalothin and penicillin G on platelet functionin vitro. Br. J. Haematol. 35 (1977) 135–152.
Hooper, C. A., Haney, B. B., Stone, H. H. Gastrointestinal bleeding due to vitamin K — deficiency in patients on parenteral cephamandole. Lancet I (1980) 39–40.
Joehl, R. J., Rasbach, D. A., Ballard, J. O., Weitekamp, M. R., Sattler, F. R. Moxalactam. Evaluation of clinical bleeding in patients with abdominal infection. Arch. Surg. 118 (1983) 1259–1261.
Lerner, P. I., Lubin, A. Coagulopathy with cephazolin in uraemia. N. Engl. J. Med. 290 (1974) 1324.
Natelson, E. A., Siebert, W. T., Williams, T. W., Bradshaw, M. W. Combined effects of ticarcillin and cephazolin on blood coagulation and platelet function. Am. J. Med. Sci. 278 (1979) 217–221.
Pakter, R. L., Russel, T. R., Mielke, C. H., West, D. Coagulopathy associated with the use of moxalactam. JAMA 24 (1982) 1100.
Panwalker, A. P., Rosenfeld, J. Hemorrhage, diarrhea and superinfection associated with the use of moxalactam. J. Infect. Dis. 147 (1983) 171–172.
Bauernfeind, A., Petermüller, Ch. In vitro activity of ciprofloxacin, norfloxacin and nalidixic acid. Eur. J. Clin. Microbiol. 2 (1983) 111–115.
Bauernfeind, A., Petermüller, Ch.: Comparison of the antibacterial profile of ciprofloxacin, norfloxacin, pefloxacin, ofloxacin, enoxacin, pipemidic acid, and nalidixic acid. In:Stille, W., Adam, D., Eickenberg, H. U., Knothe, H., Ruckdeschel, G., Simon, C. (eds.): Gyrase-Hemmer I. Fortschritte der antimikrobiellen antineoplastischen Chemotherapie FAC 3–5 (1984) 531–548.
Caesar, M., Stille, W. Chemotherapeutika der Nalidixinsäure-Gruppe. Documentation, W. Zuckschwerdt-Verlag, Munich, Berne, Vienna, 1984.
Cullmann, W., Karch, H., Stieglitz, M., Baars, B., Opferkuch, W.: Vergleich der antibakteriellen Aktivität verschiedener Gyrase-Hemmer gegenüber grampositiven und gramnegativen Keimen. In:Stille, W., Adam, D., Eickenberg, H. U., Knothe, H., Ruckdeschel, G., Simon, C. (eds.): Gyrase-Hemmer I. Fortschritte der antimikrobiellen antineoplastischen Chemotherapie FAC 3–5 (1984) 571–578.
Shah, P. M., Schützeichel, W., Stille, W.: Influence of urine and plasma water on the activity of gyrase inhibitors. In:Stille, W., Adam, D., Eickenberg, H. U., Knothe, H., Ruckdeschel, G., Simon, C. (eds.): Gyrase-Hemmer I. Fortschritte der antimikrobiellen und antineoplastischen Chemotherapie FAC 3–5 (1984) 449–555.
Höffken, G., Prinzing, C., Lode, H., Borner, K., Koeppe, P.: Pharmacokinetics of ciprofloxacin. In:Stille, W., Adam, D., Eickenberg, H. U., Knothe, H., Ruckdeschel, G., Simon, C. (eds.): Gyrase-Hemmer I. Fortschritte der antimikrobiellen antineoplastischen Chemotherapie FAC 3–5 (1984) 691–694.
Shah, P. M., Strehl, R., Posselt, H. G., Bender, S. W.: Ciprofloxacin in mucoviscidosis — cystic fibrosis (CF), a pharmacokinetic study. In:Stille, W., Adam, D., Eickenberg, H. U., Knothe, H., Ruckdeschel, G., Simon, C. (eds.): Gyrase-Hemmer I. Fortschritte der antimikrobiellen und antineoplastischen Chemotherapie FAC 3–5 (1984) 685–689.
Ziegler, R., Graefe, K. H., Wingender, W., Gau, W., Zeiler, H. J., Lietz, U., Schacht, P.: Studies on absorption and excretion of ciprofloxacin (BAY 986) in healthy male volunteers. ICAAC, Las Vegas 1983.
Born, G. V. R. Quantitative investigation into the aggregation of blood platelets. J. Physiol. 162 (1962) 67–68.
Breddin, K. Die Thrombozytenfunktion bei hämorrhagischen Diathesen. Thrombosen und Gefäßkrankheiten. F. K. Schattauer Verlag, Stuttgart, 1968.
Breddin, K., Grun, H., Krzywanek, H. J., Schremmer, W. P. Measurement of the “spontaneous” platelet aggregation. Platelet aggregation test III. Method. Klin. Wochenschr. 53 (1975) 81–89.
Bamberg, E., Bauer, O., Hermann, W., Kroemer, H., Lippmann, M., Müller, Ch., Stegmann, H., Breddin, K. Primary morphological platelet alterationin vitro. Blut 37 (1978) 327–339.
Kirchmaier, K., Bender, N., Wilhelm, B., AlSayegh, A., Breddin, K. A hemostatic activating factor (HAF) in subcutaneous tissue extracts: effects on morphologic platelet changes, platelet retention and platelet aggregation. Thromb. Res. 16 (1979) 81–91.
Schwigon, C. D., Barckow, D. Blood-coagulation disturbances under cefoperazone and moxalactam. Diagnostik and Intensivtherapie 7 (1982) 221–225.
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Ziemen, M., Breddin, K. & Shah, P.M. Haemostasis during treatment with ciprofloxacin. Infection 16 (Suppl 1), S65–S68 (1988). https://doi.org/10.1007/BF01650512
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DOI: https://doi.org/10.1007/BF01650512