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    Background: Few data are available on the pharmacokinetics of multiple enteral dosing of ciprofloxacin in critically ill intensive care patients and none for those with severe gram-negative intra-abdominal infections (GNIAI). Patients: 5 critically ill intensive care patients with GNIAI and an estimated creatinine clearance 25 ml/min who received continuous tube feeding. Measurements: The calculated 12-h area under the serum concentration versus time curve after 750 mg b.i.d. Objective: To determine the bioavailability of enteral ciprofloxacin in tube-fed intensive care patients with severe GNIAI. Interventions: Multiple doses of enteral 750 mg b.i.d. enteral dosing was equivalent to that after 400 mg b.i.d.i.v. The mean bioavailability of enteral dosing was 53.1% [95% confidence interval (CI) 43.5-62.8]. In seven additional patients, the mean serum steady-state concentration at 2 h after enteral administration was 3.9 μg/ml (95% CI 1.9-5.9), not significantly different from that found in the crossover study (p = 0.4). Conclusions: In tube-fed intensive care patients with severe GNIAI, the bioavailability of enteral ciprofloxacin is adequate. Bioavailability of ciprofloxacin after multiple enteral and intravenous doses in ICU patients with severe gram-negative intra-abdominal infections. Effect of Omeprazole on Bioavailability of Ciprofloxacin - Medscape where to purchase accutane Ciprofloxacin 100 mg film-coated tablets - Summary of Product. - eMC IV to PO Conversion
     
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