Stability of antibiotics and amino acids in two synthetic L-amino acid solutions commonly used for total parenteral nutrition in children.
Research output: Contribution to journal › Journal article › Research › peer-review
The stability and interaction at 29 degrees C of ampicillin, carbenicillin, gentamicin, and polymyxin B were examined in a common electrolyte solution, invertose darrow, and in two synthetic l-amino acid solutions, one commercial (vamin with fructose; Vitrum) and the other a neonatal preparation modified for use in newborn infants. The concentration of amino acids was measured before and after the addition of these antibiotics. The concentration of antibiotics was measured over a 24-h period with a microbiological method. The concentration of ampicillin in invertose darrow fell 52%, and in vamin with fructose it fell 69%, whereas in the neonatal preparation the fall was only 22%. The concentration of carbenicillin in vamin with fructose fell 37%, and in the neonatal preparation it fell 31%. The combination of ampicillin or carbenicillin with gentamicin or polymyxin B did not influence the activity of the penicillins. The concentration of gentamicin and polymyxin B was unchanged in all solutions over a 24-h period. With the exception of cystine, the concentration of all amino acids remained constant after 24 h in the neonatal preparation with and without the different combinations of antibiotics. For cystine there was a fall of 20 to 30%.
Original language | English |
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Journal | Antimicrobial Agents and Chemotherapy |
Volume | 13 |
Issue number | 4 |
Pages (from-to) | 555-8 |
Number of pages | 3 |
ISSN | 0066-4804 |
Publication status | Published - 1978 |
Bibliographical note
Keywords: Amino Acids; Anti-Bacterial Agents; Drug Stability; Humans; Hydrogen-Ion Concentration; Infant, Newborn; Parenteral Nutrition; Parenteral Nutrition, Total; Time Factors
ID: 8670263