Table 2

Experimental conditions verifying stability of selected cephalosporins

Cephalosporins
Authors
Studied (C)Dose in 240 mLDiluentConditions under which >90% stability is confirmed
Cefepime
Baririan, N, et al 41 12% w/v28.8 gSWFI16 hours at 25°C
Rabouan-Guyon, S M,
et al 42
8 mg/mL1.92 gNS3 days at 24°C
8 mg/mL1.92 g5D2 days at 24°C
Sprauten, P F, et al 19 6 g/250 mL5.76 g5DSEQ 7 days at 4°C, then 24 hours at 'room temp' (max 29)
Stewart, J T, et al 18 100 mg/mL24 gNS, SWFISEQ 7 days at 4°C, then 1 day at 22–24°C
200 mg/mL48 g5D, SWFISEQ 7 days at 4°C, then 1 day at 22–24°C
Trissel, L A and Q A Xu43 1 g/100 mL2.4 gNS2 days at 23°C
4 g/100 mL9.6 gNS1 day at 23°C
Viaene, E, et al 20 50 g/L12 gSWFI20.5 hours at 25°C and 13 hours at 37°C
Voumard, R, et al 40 12.5 g/L3gNS24 hours at room temperature
Cefotaxime
Behin,S, et al 44 100 mg/mL24 gSWFI24 hours at 25°C
Das Gupta, V, et al 45 1 g/100 mL2.4 gNS, 5D1 day at 24°C
Das Gupta, V 46 1% w/v2.4 gNS, 5D1 day at 24°C
Das Gupta, V 47 50 mg/mL12 gNS1 day at 25°C
Cefoxitin
Borst, D L, et al 48 1–2g/10 mL24–48gSWFI2 days at 24°C
Stiles, M L, et al 21 40 mg/mL9.6 gSWFISEQ 30 days at −20°C, then 4 days at 5°C, then 1 day at 37°C
CeftazidimePyridine
Allen Jr, L V, et al 4 20 mg/mL4.8 gNS, D518 hours at 25°CNot Recorded
Arsène, M, et al 49 40 mg/mL9.6 gNS20 hours at 20°C (in PVC/PP)Recorded
40 mg/mL9.6 g5D20 hours at 20°C (in PP)
Baririan, N, et al 41 12% w/v28.8 gSWFI24 hours at 25°C, and 16 hours at 30°CNot Recorded
Bednar, D A, et al 22 60 mg/mL14.4 gNS24 hours at 27°C, SEQ (48 hours at 4°C then 20 hours at 27°C), (6 days at 4°C then 24 hours at 27°C)Not Recorded
120 mg/mL28.8 gNS16 hours at 27°C, SEQ (6 days at 4°C then 16 hours at 27°C)
Das Gupta, V, et al 50 4 g/100 mL9.6 gNS,5D2 days at 25°CNot Recorded
Farina, A, et al 51 270 mg/mL64.8 gSWFI24 hours at 20°CRecorded
Nahata, M C, et al 28 100 mg/mL24 gSWFISEQ 10 days at 4°C, then 24 hours at 22°CNot Recorded
Richardson, B L, et al 52 40–333 mg/mL9.6–80gSWFI24 hours at 25°CNot Recorded
20 mg/mL4.8 gNS,5D24 hours at 25°C
Servais, H and P M Tulkens53 4%–8% w/v9.6–19.2gSWFI24 hours at 21–25°CNot Recorded
10%24 gSWFI24 hours at 21°C
12%28.8 gSWFI24 hours at 21°C, 24 hours at 25°C, 16 hours at 30°C
Stiles, M L, et al 21 36.6 mg/mL8.784 gSWFISEQ 30 days at −20°C, then 4 days at 5°C, then 1 day at 37°CNot Recorded
Stiles, M L, et al 6 30 mg/mL7.2 gSWFISEQ (10 days at 3°C then 24 hours at 30°C), (7 days at 3°C then 16 hours at 30°C)Not Recorded
60 mg/mL14.4 gSWFISEQ (30 days at −20°C then 4 days at 3°C then 1 day at 30°C), (10 days at 3°C 1 day at 30°C), (7 days at 3°C then 16 hours at 30°C)
Viaene, E, et al 20 8.3% w/v19.92 gSWFI24 hours at 25°CRecorded
12% w/v28.8 gSWFI24 hours at 25°C
Walker, S E, et al 54 5 mg/mL1.2 gNS2 days at 23°CNot Recorded
5–40mg/mL1.2 g-9.6g5D1 day at 23°C
60 mg/mL14.4 gNS1 day and 23°C
  • 5D, 5% dextrose; PVC, polyvinyl chloride; SWFI, sterile water for injection.