The effect of a single dose of ceftazidime on circulating concentrations of
interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-alpha) in a rat
model of sepsis was studied. IL-6 concentrations were significantly elevate
d (100 to 200 times the baseline) 6 h after ceftazidime administration in b
oth septic and nonseptic (control) rats. TNF-alpha concentrations increased
significantly in nonseptic (similar to 40 times the baseline) rats but not
septic (similar to2 to 3 times the baseline) rats. Ceftazidime administrat
ion was not associated with an increase in endotoxin concentrations. These
findings suggest that ceftazidime modulation of proinflammatory cytokine co
ncentrations may be independent of its antimicrobial properties.