Physical compatibility of ceftazidime-avibactam with selected intravenous antimicrobials in simulated Y-site administration.

Fangyuan Chen, Haiwen Ding, Sheng Liu, Zhaolin Chen, Liqin Tang, Tong Tong
Author Information
  1. Fangyuan Chen: Pharmacy, The First Affiliated Hospital of USTC, Hefei, Anhui, China.
  2. Haiwen Ding: Pharmacy, The First Affiliated Hospital of USTC, Hefei, Anhui, China.
  3. Sheng Liu: Pharmacy, The First Affiliated Hospital of USTC, Hefei, Anhui, China.
  4. Zhaolin Chen: Pharmacy, The First Affiliated Hospital of USTC, Hefei, Anhui, China.
  5. Liqin Tang: Pharmacy, The First Affiliated Hospital of USTC, Hefei, Anhui, China.
  6. Tong Tong: Pharmacy, The First Affiliated Hospital of USTC, Hefei, Anhui, China tongmaoji@ustc.edu.cn. ORCID

Abstract

OBJECTIVE: The primary objective of this study was to evaluate the physical compatibility of ceftazidime-avibactam with selected intravenous antimicrobials during simulated Y-site administration.
METHODS: Ceftazidime-avibactam (25���mg/mL) was mixed with select intravenous antimicrobials (tigecycline, metronidazole, meropenem, imipenem and cilastatin, fosfomycin, aztreonam and vancomycin) at an equal volume and evaluated using simulated Y-sites. Each admixture was evaluated immediately (0���hour) and after 1, 2, and 4���hours at room temperature (approximately 22��C) for visual characteristics, Tyndall beam, turbidity, pH, spectroscopic absorption of 550���nm and particle counts. If an admixture failed any one of these six assessments, it was considered incompatible.
RESULTS: No evidence of incompatibility was observed between the combinations of ceftazidime-avibactam and the seven intravenous antimicrobials in simulated Y-site experiments.
CONCLUSION: Ceftazidime-avibactam was physically compatible with the selected intravenous antimicrobials (tigecycline, metronidazole, meropenem, imipenem and cilastatin, fosfomycin, aztreonam and vancomycin) in simulated Y-site administration.

Keywords

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Created with Highcharts 10.0.0intravenousantimicrobialssimulatedY-siteceftazidime-avibactamselectedadministrationDrugcompatibilityCeftazidime-avibactamtigecyclinemetronidazolemeropenemimipenemcilastatinfosfomycinaztreonamvancomycinevaluatedadmixtureAdministrationOBJECTIVE:primaryobjectivestudyevaluatephysicalMETHODS:25���mg/mLmixedselectequalvolumeusingY-sitesimmediately0���hour124���hoursroomtemperatureapproximately22��CvisualcharacteristicsTyndallbeamturbiditypHspectroscopicabsorption550���nmparticlecountsfailedonesixassessmentsconsideredincompatibleRESULTS:evidenceincompatibilityobservedcombinationssevenexperimentsCONCLUSION:physicallycompatiblePhysicalIntravenousDRUGSTABILITYRoutesMonitoringStability

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