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Table 3 Percentage of bone penetration of the main antibiotics used in AHOM

From: Italian consensus on the therapeutic management of uncomplicated acute hematogenous osteomyelitis in children

Antibiotic

Percentage of bone penetration

 

Boselli 1999 [14]

Landrsdorfer 2009 [15]

Thabit 2019 [16]

BETA-LACTAMS

Amoxicillin

17–31%

18–20%

10% (amoxi-clavulanate)

Clavulanic

10–15%

Ampicillin

16%

11–71%

Sulbactam

17–71%

Piperacillin

18–23%

18–23% or 15%

15% (piperacillin-tazobactam)

Tazobactam

22–26%

22–26%

Flucloxacillin

8–15%

5–15%

65%

Oxacillin

11%

21%

CARBAPENEMS

Ertapenem

10–20%

35%

Meropenem

50%

CEPHALOSPORINS

Ceftriaxone

7–17%

Cefazolin

18%

18%

25%

Cefepime

46–76%

Cefuroxime

14–23%

Cefotaxime

8,8%

Ceftazidime

20–35%

54%

49%

MACROLIDES

Erythromycin

28.5–39%

18–28%

Azithromycin

250–630%

GLYCOPEPTIDES

Vancomycin

60.8%

5–67%

20–40%

Teicoplanin

14–290%

50–64%

AMINOGLYCOSIDES

Gentamicin

14–55%

16–33%

Amikacin

15–30%

OTHERS

Metronidazole

50%

Linezolida

23–51%

44%

Daptomycin

12–55% or 108%

20%

TMP-SMX

11–60%

15–50%

25%

Rifampicin

17–41%

20–25%

40%

Tigecyclinea

35–195% or 47%

Clindamycin

98.3%

21–45%

26%

  1. aNot registered for pediatric use