Skip to main content
Log in

Haemostasis during treatment with ciprofloxacin

Blutgerinnung unter Ciprofloxacin-Therapie

  • Clinical Studies
  • Published:
Infection Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Literature

  1. Andrassy, K., Ritz, E., Hasper, B., Scherz, M., Walter, E., Storch, H. Penicillin-induced coagulation disorder. Lancet II (1976) 1039–1041.

    Google Scholar 

  2. 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.

    Google Scholar 

  3. 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.

    Google Scholar 

  4. 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.

    Google Scholar 

  5. 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.

    Google Scholar 

  6. 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.

    Google Scholar 

  7. 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.

    Google Scholar 

  8. Bang, N. U., Kammer, R. B. Hematologic complications associated with beta-lactam antibiotics. Rev. Infect. Dis. 5 (Suppl. 2) (1983) S380-S393.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. 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.

    Google Scholar 

  11. 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.

    Google Scholar 

  12. Lerner, P. I., Lubin, A. Coagulopathy with cephazolin in uraemia. N. Engl. J. Med. 290 (1974) 1324.

    Google Scholar 

  13. 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.

    Google Scholar 

  14. Pakter, R. L., Russel, T. R., Mielke, C. H., West, D. Coagulopathy associated with the use of moxalactam. JAMA 24 (1982) 1100.

    Google Scholar 

  15. Panwalker, A. P., Rosenfeld, J. Hemorrhage, diarrhea and superinfection associated with the use of moxalactam. J. Infect. Dis. 147 (1983) 171–172.

    Google Scholar 

  16. Bauernfeind, A., Petermüller, Ch. In vitro activity of ciprofloxacin, norfloxacin and nalidixic acid. Eur. J. Clin. Microbiol. 2 (1983) 111–115.

    Google Scholar 

  17. 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.

  18. Caesar, M., Stille, W. Chemotherapeutika der Nalidixinsäure-Gruppe. Documentation, W. Zuckschwerdt-Verlag, Munich, Berne, Vienna, 1984.

    Google Scholar 

  19. 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.

  20. 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.

  21. 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.

  22. 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.

  23. 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.

  24. Born, G. V. R. Quantitative investigation into the aggregation of blood platelets. J. Physiol. 162 (1962) 67–68.

    Google Scholar 

  25. Breddin, K. Die Thrombozytenfunktion bei hämorrhagischen Diathesen. Thrombosen und Gefäßkrankheiten. F. K. Schattauer Verlag, Stuttgart, 1968.

    Google Scholar 

  26. 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.

    Google Scholar 

  27. 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.

    Google Scholar 

  28. 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.

    Google Scholar 

  29. Schwigon, C. D., Barckow, D. Blood-coagulation disturbances under cefoperazone and moxalactam. Diagnostik and Intensivtherapie 7 (1982) 221–225.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01650512

Keywords

Navigation