The ceftazidime and tazobactam sodium medicinal composition liposome injection
Technical field
The present invention relates to a kind of ceftazidime and tazobactam sodium medicinal composition liposome injection and method for making thereof, belong to field of medicine preparations.
Background technology
Ceftazidime (Ceftazidime CAZ) has another name called ceftazidime, fortum etc., is semi-synthetic third generation cephalosporin class antibiotic, and antibiotic vigor is stronger, and antimicrobial spectrum is wider, Grain-positive or negative bacterium is all had pretend usefulness.The beta lactamase that gram positive bacteria, negative bacterium are produced has the stability of height, bacillus pyocyaneus, escherichia coli, klebsiella bacillus, Bacillus proteus, enterococcus, salmonella, shigella dysenteriae, Diplococcus gonorrhoeae, Neisseria meningitidis, golden Portugal bacterium, Hemolytic streptococcus, streptococcus pneumoniae and aerobacteria etc. had strong antibacterial activity, particularly for the strongest antibiotic of bacillus pyocyaneus effect.
The antibacterial action mechanism of ceftazidime can suppress the transpeptidation of transpeptidase in the synthetic final step interconnection of cell wall for influencing the synthetic of bacteria cell wall, interconnection can not be formed, thereby it is synthetic to influence cell wall, causes the death of antibacterial bacteriolyze.
Sodium-tazobactam is the novel penicillanic acid sulfones beta-lactamase inhibitor after sulbactam sodium and clavulanic acid, and its structural formula increases a triazole ring on the basis of sulbactam sodium, presses down enzymatic activity to improve.The enzyme effect that presses down of sodium-tazobactam is better than sulbactam, and stability is because clavulanic acid, especially extended spectrum (ESBLs) there is stronger inhibitory action, be the beta-lactamase inhibitor that market prospect is arranged at present very much, and have toxicity low, press down advantages such as enzymatic activity is strong, good stability.
How ceftazidime and sodium-tazobactam are made compound formulation at present, can improve the antibacterial activity of ceftazidime greatly, reduce bacterial drug resistance.
This series products ceftazidime and the Tazobactam Sodium sodium injection of existing listing, ubiquity active constituents of medicine instability, the long-term storage related substance is produced more, and content reduces, and this has not only reduced drug effect, and brings drug risk, the harm patients ' interest.
CN 1418632 A disclose ceftazidime for inj and and the compound preparation of sodium-tazobactam, ceftazidime and and the weight ratio of sodium-tazobactam be 3: 1.Form compound preparation by ceftazidime and sodium-tazobactam by 3: 1 (weight ratio) proportionings.At first prepare sodium-tazobactam, make mixing suspension by Tazobactam Sodium 150g and water for injection, add sodium bicarbonate solution adjusting pH value to 6.3 ± 0.1 and obtain the Tazobactam Sodium sodium solution, obtain the Tazobactam Sodium sodium freeze dry through injection activated carbon decolorizing, degerming filtration, lyophilization, obtain the sodium-tazobactam powder after the pulverizing; With ceftazidime 450g and sodium-tazobactam mix homogeneously, 1000 bottles of packing promptly get ceftazidime and sodium-tazobactam and form compound preparation by 3: 1 (weight ratio) proportionings again.Though the document has disclosed ceftazidime and sodium-tazobactam by the best of breed proportioning on 3: 1 therapeutics meanings, its preparation method causes the stability of its pharmaceutics but to be difficult to satisfy the needs of clinical application.
People's such as Huang Hongqian document " study on the stability of ceftazidime for inj/sodium-tazobactam " is introduced after influence factor's experiment, accelerated tests, long-term experiment, variations such as ceftazidime for inj/sodium-tazobactam outward appearance, pH value, moisture, content, catabolite prove that the stability of ceftazidime for inj/sodium-tazobactam of the prior art is difficult to accept.
Further research according to the inventor, find existing ceftazidime and sodium-tazobactam by 3: 1 (weight ratio) though the combination very extensive at clinical application, but the preparation technology who adopts present prior art amplifies after the production, still there is muddiness in solution after lyophilized powder redissolves, the underproof phenomenon of visible foreign matters, and also stability of solution is very poor, require to use up at short notice, otherwise active component is very easily rotten, causes drug quality to descend, and is unsuitable for injection.
Liposome (Liposome) is dispersed in phospholipid by Britain scholar Bangham and Standlish at first and finds when carrying out electron microscopic observation in the water.Phospholipid is dispersed in the water and forms multilamellar vesicle naturally, every layer of equal bilayer of lipid not; Separated by water between vesicle central authorities and each layer, bilayer thickness is about 4nm.Afterwards, this bimolecular folliculus with similar biofilm structure was called liposome.Liposome can be divided into multilamelar liposome and courage and insight liposome.Unilamelar liposome is divided into small unilamellar vesicle and large unilamellar vesicle again.What Bangham and Standlish found at first is exactly multilamelar liposome, and they more easily prepare, and size is generally the 0.5-5 micron.Small unilamellar vesicle is spherical, and size is generally the 20-50 nanometer; Large unilamellar vesicle is of a size of the micron number magnitude.People such as Britain Lai Men began liposome is used for pharmaceutical carrier in 1971, the main mechanism of action is drug powder or solution are wrapped in the aqueous phase that the liposome bilayer lipid membrane sealed or embed in the liposome bilayer lipid membrane, this microgranule has the class cellularity, enter the interior principal agent of human body is activated body by reticuloendothelial system phagocytic autoimmune function, and the interior distribution of the body that changes encapsulated medicine, make the drug main will be liver, spleen, put aside in the histoorgan such as lung and bone marrow, thereby improve the therapeutic index of medicine, reduce the toxicity of the therapeutic dose and the reduction medicine of medicine.Liposome as pharmaceutical carrier mostly is large unilamellar vesicle at present, and particle diameter is generally between the 100-1000 nanometer.
Liposome technology has following advantage as a new medicinal preparation: (1) increases the dissolubility of medicine; (2) toxicity of reduction medicine; (3) give medicine organ targeting, liver, lung, spleen, lymphoid tissue are had stronger affinity, make the contained medicine of liposome keep high concentration, thereby play the effect of medicine organ targeting in these internal organs parts; (4) slow releasing function of increase medicine; (5) raising is to the protective effect of medicine.
The present invention is directed to the ceftazidime instability, it is big that the long-term storage related substance becomes, shortcomings such as content reduction, and examination combines ceftazidime and tazobactam sodium with liposome technology, medicine stability and toxic and side effects are had beyond thought effect.
Summary of the invention
The present invention is intended in the face of the restriction of existing listing this product because of the technology of preparing means, consult numerous related datas and a large amount of experimental summary, discovery can solve a series of problem after with particular excipient and preparation technology's liposome preparation technology principal agent being wrapped up, and now the present invention is realized that content is presented below:
One of purpose of the present invention provides a kind of ceftazidime and tazobactam sodium lipidosome injection, mainly comprises following component: ceftazidime, sodium-tazobactam, liposome membrane material and additives.Based on the weight portion meter, 3 parts of ceftazidimes, 1 part of sodium-tazobactam, liposome membrane material 3-20 part, additives 2.2-15 part.
Preferably, based on the weight portion meter, 3 parts of ceftazidimes, 1 part of sodium-tazobactam, liposome membrane material 5-12 part, additives 3.6-8 part.
Wherein, the weight ratio of ceftazidime and sodium-tazobactam 3: 1, specification are 2.4g (ceftazidime 1.8g and sodium-tazobactam 0.6g) and 1.2g (ceftazidime 0.9g and sodium-tazobactam 0.3g).
Further, also comprise frozen-dried supporting agent 5-20 part and antioxidant 1-3 part in the preparation.
Preferably, based on the weight portion meter, injection of the present invention comprises, 3 parts of ceftazidimes, 1 part of sodium-tazobactam, liposome membrane material 5-12 part, additives 3.6-8 part, frozen-dried supporting agent 5-20 part and antioxidant 1-3 part.
Preparation lipidosome injection membrane material commonly used is phospholipid and additives, wherein phospholipid can be selected natural phospholipid and synthetic phospholipid for use usually, and described natural phospholipid is one or more in Ovum Gallus domesticus Flavus lecithin, hydrogenation egg yolk lecithin, EPG, egg yolk lecithin acyl serine, egg yolk lecithin acyl inositol, soybean lecithin, hydrogenated soya phosphatide, soybean phospholipid acyl glycerol, soy phosphatidylserine, the soybean phospholipid acyl inositol; Described synthetic phospholipid is one or more in dioleoyl phospholipid phatidylcholine, distearyl acid phosphatidylcholine, dipalmitoyl phosphatidyl choline, dimyristoyl phosphatidyl choline, two Laurel phosphatidyl cholines, DOPG, distearyl acid phosphatidyl glycerol, two palmityl phosphatidyl glycerols, GLYCEROL,DIMYRISTOYL PHOSPHATIDYL, the two lauroyl phosphatidyl glycerols.
The membrane material of additives commonly used has cholesterol, 18-amine., phosphatidic acid, sodium deoxycholate and poloxamer 188.The membrane material that is used to prepare lipidosome injection also has PHOSPHATIDYL ETHANOLAMINE, cholesterol acetyl fat, paddy to carry alcohol, natrii tauroglycocholas, phosphatidyl silk amino acid, stearmide, single stearoyl phosphatidic acid, single stearoyl PHOSPHATIDYL ETHANOLAMINE, two cetyl phosphate (DCP), two palmityl PHOSPHATIDYL ETHANOLAMINE, single palmityl PHOSPHATIDYL ETHANOLAMINE, two myristoyl PHOSPHATIDYL ETHANOLAMINE.Additives generally are used for regulating membrane structure, change charged character, as cholesterol liposome bimolecular tunic are solidified, thereby reduce the generation of free radical, have reduced oxidation level, and liposome stability is significantly strengthened.
Frozen-dried supporting agent commonly used has mannitol, glycine, sorbitol, xylitol, glucose, lactose, trehalose, and frozen-dried supporting agent is used for supporting the formability after the lyophilizing, plays the effect of skeleton.
Antioxidant commonly used has sodium sulfite, sodium sulfite, sodium pyrosulfite, vitamin E, vitamin C, glutathion, propyl gallate; antioxidant is used for playing the effect that the protection active component is avoided oxidation, and very big effect is played in the raising of stability.
According to ceftazidime sodium and tazobactam sodium medicament composition liposome injection recited above, wherein the liposome membrane material is preferably the combination of dioleoyl phospholipid phatidylcholine and soy phosphatidylserine, most preferably is preferred 3: 1 combination.
According to ceftazidime and tazobactam sodium medicinal composition liposome injection recited above, wherein additives are preferably the combination of cholesterol acetyl fat and 18-amine., most preferably are 2: 1 combinations.
According to ceftazidime and tazobactam sodium medicinal composition liposome injection recited above, it is that frozen-dried supporting agent is preferably the combination of mannitol and glycine, most preferably is 3: 2 combination.
According to ceftazidime and tazobactam sodium medicinal composition liposome injection recited above, wherein antioxidant is preferably the combination of vitamin C and sodium sulfite, most preferably is 1: 1 combination.
Though, the preparation technology of liposome becomes routine techniques already, but the selection of different preparation technologies and excipient is also non-obvious, the inventor adopts the Liposomal formulation of the excipient preparation of above special component and content proportioning to have unforeseeable technique effect by secular creative work acquisition, has improved envelop rate and has redissolved dissolubility and syringeability afterwards.
Another object of the present invention provides the ceftazidime and tazobactam sodium medicinal composition liposome injection, and wherein preparation process is:
(1) at first prepares blank liposome, active component has been dissolved in the blank liposome, produced parcel, had technological means to form envelop rate preferably.
(2) principal agent that will and be wrapped up by the liposome membrane material and frozen-dried supporting agent and antioxidant are made into sterile solution, are sub-packed in the cillin bottle by loading amount, carry out conventional lyophilizing.
According to ceftazidime and tazobactam sodium medicinal composition liposome injection recited above, its described liposome preparation can be chosen as following several different methods:
Membrane process: by Rotary Evaporators liposome membrane material solution is used for preparing liposome membrane behind the organic solvent, then principal agent, frozen-dried supporting agent, antioxidant is dissolved in preparation medicine lipid liquid solution in the film solution;
Alcohol injection: the liposome membrane material is dissolved in the ethanol, slowly will be dissolved in the buffer salt that contains principal agent, frozen-dried supporting agent, antioxidant with micro-transfusion device and injects, preparation medicine lipid liquid solution;
Freeze-drying: directly dispose liposome membrane material solution and drug solution and mix, the insulation supersound process, the back obtains the medicine lipid liquid solution by the violent jolting of high-speed tissue mashing machine.
Another object of the present invention provides the preparation method of ceftazidime and tazobactam sodium medicinal composition liposome injection, and wherein preparation process comprises:
(1) liposome membrane material and additives are dissolved in the organic solvent, organic solvent is removed in decompression on rotary film evaporator, has obtained phospholipid membrane;
(2) citric acid-sodium citrate buffer solution of adding pH value 6.2 in phospholipid membrane, jolting is stirred and is made the complete aquation of phospholipid membrane, prepares blank liposome with high-quality homogenizer;
(3) ceftazidime, sodium-tazobactam, antioxidant are dissolved in the water for injection through filtering with microporous membrane, add blank liposome and mix 55 ℃ of supersound process 30min; Even with the aqueous solution that is dissolved with frozen-dried supporting agent again;
(4) loading amount is sub-packed in the cillin bottle in accordance with regulations, places to carry out lyophilizing in the freezer dryer, detects qualified back packing warehouse-in.
Further, freeze-dry process is:
A, pre-freeze: the medicinal liquid that branch is installed is cooled to-50~-35 ℃ by 1~3 ℃ of/minute speed, is incubated freezing 3 hours;
B, distillation: the medicine evacuation that pre-freeze is good, to 15Pa, in 7~9 hours, at the uniform velocity slowly be warming up to-22~-18 ℃ then, be incubated 1~2 hour, in 4~6 hours, at the uniform velocity be warming up to 10~15 ℃ again;
C, drying: the distillation medicine of stage after finishing that finish at the uniform velocity was warming up to 30 ℃ in 4 hours, heat preservation and dryness 3 hours detects qualified back packing and puts in storage.
Preferably:
A, pre-freeze: the medicinal liquid that branch is installed is cooled to-40 ℃ by 2 ℃ of/minute speed, is incubated freezing 3 hours;
B, distillation: the medicine evacuation that pre-freeze is good, to 15Pa, in 8 hours, at the uniform velocity slowly be warming up to-20 ℃ then, be incubated 2 hours, in 5 hours, at the uniform velocity be warming up to 10 ℃ again;
C, drying: the distillation medicine of stage after finishing that finish at the uniform velocity was warming up to 30 ℃ in 4 hours, heat preservation and dryness 3 hours detects qualified back packing and puts in storage.
In the above-mentioned described preparation method, described organic solvent can be methanol, ethanol, ether, acetone, isopropyl alcohol, acetonitrile, chloroform, N, in the dinethylformamide one or more, preferred volume ratio are 1: 3 the isopropyl alcohol and the mixed solvent of acetonitrile.
Ceftazidime and tazobactam sodium lipidosome injection provided by the invention and preparation method thereof has the following advantages:
(1) active component ceftazidime and sodium-tazobactam wrap up by liposome technology, have greatly improved stability, and placing content and related substance does not for a long time almost have significant change, has ensured the quality of medicine;
(2) the liposome preparation technology is simple to operation, is suitable for suitability for industrialized production, and cost is low;
(3) improve drug quality, reduced toxic and side effects.
The specific embodiment
Below can preferred version according to the present invention provide the Comparative Examples of specific embodiments and embodiment, and carry out experiment exam preparation effect of the present invention is described.Used embodiment, Comparative Examples, test example all are further to explain to of the present invention, not can be used as be to the invention further restriction.
Embodiment 1
The preparation of ceftazidime and tazobactam sodium medicine compound liposome
Prescription (100 bottles):
Ceftazidime 90g
Sodium-tazobactam 30g
Dioleoyl phospholipid phatidylcholine 112.5g
Soy phosphatidylserine 37.5g
Cholesterol acetyl fat 72g
18-amine. 36g
Mannitol 90g
Glycine 60g
Sodium sulfite 15g
Vitamin C 15g
Preparation technology:
(1) 112.5g dioleoyl phospholipid phatidylcholine, 37.5g soy phosphatidylserine, 72g cholesterol acetonyl ester, 36g 18-amine. are dissolved in the mixed solvent that the 1000ml volume ratio is 1: 3 isopropyl alcohol and acetonitrile, mixed solvent is removed in decompression on rotary film evaporator, has obtained phospholipid membrane;
(2) citric acid-sodium citrate buffer solution 500ml of adding pH value 6.2 in phospholipid membrane, jolting 10min stirs and makes the complete aquation of phospholipid membrane, prepares blank liposome with high-quality homogenizer;
(3) 90g ceftazidime, 30g sodium-tazobactam, 15g sodium sulfite, 15g vitamin C are dissolved in the 500ml water for injection through 0.45 μ m filtering with microporous membrane, add blank liposome and mix 55 ℃ of supersound process 30min; Again with the aqueous solution 500ml mix homogeneously that is dissolved with 90g mannitol and 60g glycine;
(4) loading amount is sub-packed in the cillin bottle in accordance with regulations, places to carry out lyophilizing in the freezer dryer:
A, pre-freeze: the medicinal liquid that branch is installed is cooled to-40 ℃ by 2 ℃ of/minute speed, is incubated freezing 3 hours;
B, distillation: the medicinal liquid evacuation that pre-freeze is good, to 15Pa, in 8 hours, at the uniform velocity slowly be warming up to-20 ℃ then, be incubated 2 hours, in 5 hours, at the uniform velocity be warming up to 10 ℃ again;
C, drying: the distillation medicinal liquid of stage after finishing that finish at the uniform velocity was warming up to 30 ℃ in 4 hours, heat preservation and dryness 3 hours makes cefoperazone sodium and tazobactam sodium medicament composition liposome injection.
Comparative Examples 1
The preparation of ceftazidime and tazobactam sodium medicine compound liposome (commonsense method)
Prescription (100 bottles):
Ceftazidime 90g
Sodium-tazobactam 30g
Dioleoyl phospholipid phatidylcholine 112.5g
Soy phosphatidylserine 37.5g
Cholesterol acetyl fat 72g
18-amine. 36g
Mannitol 90g
Glycine 60g
Sodium sulfite 15g
Vitamin C 15g
Preparation technology:
(1) 112.5g dioleoyl phospholipid phatidylcholine, 37.5g soy phosphatidylserine, 72g cholesterol acetonyl ester, 36g 18-amine. are dissolved in the mixed solvent that the 1000ml volume ratio is 1: 3 isopropyl alcohol and acetonitrile, mixed solvent is removed in decompression on rotary film evaporator, has obtained phospholipid membrane;
(2) citric acid-sodium citrate buffer solution 500ml of adding pH value 6.2 in phospholipid membrane, jolting 10min stirs and makes the complete aquation of phospholipid membrane, prepares blank liposome with high-quality homogenizer;
(3) 90g ceftazidime, 30g sodium-tazobactam, 15g sodium sulfite, 15g vitamin C are dissolved in the 500ml water for injection through 0.45 μ m filtering with microporous membrane, add blank liposome and mix, again with the aqueous solution 500ml mix homogeneously that is dissolved with 90g mannitol and 60g glycine;
(4) loading amount is sub-packed in the cillin bottle in accordance with regulations, places to carry out lyophilizing in the freezer dryer: the medicinal liquid that branch is installed is cooled to-30 ℃ by 2 ℃ of/minute speed, at the uniform velocity slowly is warming up to 30 ℃ then in 8 hours; Heat preservation and dryness 2 hours makes cefoperazone sodium and tazobactam sodium medicament composition liposome injection.
Embodiment and Comparative Examples are relativelyThe comparison of preferred ratio of adjuvant of the present invention and freeze-dry process
Designed following each embodiment and Comparative Examples with adjuvant that the present invention was screened and consumption and preparation technology for empirical factor in the following form, wherein embodiment 1-4 adopts preparation technology of the present invention to carry out, used adjuvant and consumption are within preferable range of the present invention, used adjuvant or supplementary product consumption are outside preferable range of the present invention among the Comparative Examples 1-4, the common freeze-dry process of the employing that perhaps has carries out, and investigates the result in the test example advantage of the present invention is compared explanation.
The comparison of table 1 embodiment and Comparative Examples
Test example 1
The mensuration of envelop rate
Get the liposome turbid liquor 10ml that embodiment 1-4 and Comparative Examples 1-4 make and place the bag filter of having handled, bag filter is immersed among dialysis solution (the aquation medium that promptly the prepares liposome) 100ml, put on the magnetic stirring apparatus and stir, regularly change dialysis solution, behind the 12h content taking-up in the dialysis solution is put in the 100ml measuring bottle, add the alcoholic solution 10ml breakdown of emulsion of 5% polyoxyethylene nonylphenol ether, water is settled to scale.Get each 20 μ l of solution of the embodiment 1-2 that states and Comparative Examples 1-3 respectively, the sample introduction analysis calculates the amount W of parcel ceftazidime and sodium-tazobactam in the liposome
Bag, according to formula: envelop rate=(W
Bag/ W
Always) * 100% computational envelope rate.
Table 2 entrapment efficiency determination result
By above result as can be known, the liposome encapsulation that the present invention makes is very high, meets the actual production requirement substantially; And the liposome encapsulation that the outer Comparative Examples prescription proportioning of the scope of the invention makes is very low, has compared tangible gap with embodiment, is not suitable for production requirement.
Test example 2
Stability study
Sample and listing preparation ceftazidime for inj sodium-tazobactam (Guoruitang Pharmaceutical Co., Ltd., Hainan Prov. with above embodiment 1-4 and Comparative Examples 1-4 preparation, lot number 20100102), under 40 ℃ of high temperature, relative humidity 75% ± 5% condition 6 months, carrying out accelerated test investigates, compare dissolution and stability, the result is as follows:
Table 3 accelerated test is investigated
By above result as can be known, after the accelerated test 6 months, the molten acidity of the sample of embodiment of the invention 1-4, content and related substance do not have significant change, and the sample of Comparative Examples 1-4 preparation and listing formulation content descend bigger, related substance raises obviously, acidity significantly reduces, and illustrates that the stability of the ceftazidime and tazobactam sodium lipidosome injection that the present invention makes increases.
Test example 3
External pharmacodynamic study
Adopt the agar doubling dilution, measure the fungistatic effect of ceftazidime and tazobactam sodium lipidosome injection for escherichia coli, pneumonia thunder uncle bacterium and enterobacter cloacae.
At first escherichia coli, pneumonia thunder uncle bacterium and the enterobacter cloacae of clinical separation and evaluation are cultivated 18h respectively in nutrient broth, regulate bacterial concentration with sterile saline before each experiment.The concentration of measuring the bacterium liquid that tries than turbid instrument with bacterium colony is that 0.5 to buy be unit (10
8Individual/mL).Adopt agar doubling dilution preparation ceftazidime and tazobactam sodium medicine compound liposome solution and ceftazidime solution, form the pastille MH culture medium of finite concentration gradient, use respectively 10 μ L inoculating loops with the dibbling of bacterium liquid in the pastille plate.Bacterium liquid final concentration is every 10
6Individual/ml, in 35 ℃ of cultivation 24h, observed result the results are shown in Table 4.
The external pharmacodynamics of table 4 ceftazidime and tazobactam sodium medicinal composition liposome injection
By above result as can be seen, the fungistatic effect of ceftazidime and tazobactam sodium lipidosome injection obviously strengthens.
Test example 4
Haemolysis and thrombotest
Test method: get one of rabbit, heart extracting blood 10ml, Glass rod stirs and removes micro-proteinogen, makes into defibrinated blood, adds the 100ml normal saline and shakes up, centrifugal, remove supernatant, sedimentary erythrocyte reuse normal saline washs 4 times to the apparent redness of supernatant, with gained erythrocyte 3ml, add normal saline 150ml, it is stand-by to be prepared into 2% red blood cell suspension.
Get 7 in test tube, indicate 1-7 number, the according to the form below parallelism, add 2% red blood cell suspension and normal saline successively, put 30min in 37 ℃ of calorstats, add the not commensurability ceftazidime and tazobactam sodium medicinal composition liposome injection of embodiment 1 then, the negative control tube of the 6th pipe, the positive haemolysis sample of the 7th pipe.After shaking up, put in 37 ℃ of calorstats and observed successively every 20 minutes approximately, observe to 6h, the 1-5 pipe is compared with 6 pipes, and the clarity of supernatant is identical, transparent red normal complexion rufous flocky precipitate all do not occur, 7 pipe hemocyte complete hemolysis, the 1-5 pipe is compared with 7 pipes, and phenomenon is opposite fully.Result of the test sees Table 5:
Table 5 haemolysis, agglutination test
The result judges: the 1-5 pipe is in 2-6 hour, and its supernatant is compared basic identical with 6 pipes, the brown flocky precipitate of transparent red normal complexion all do not occur.The 1-5 pipe was compared with 7 pipes in 2-6 hour, and then phenomenon is opposite fully, and whole red haemolysises has appearred in 7 pipes.
Conclusion: the ceftazidime and tazobactam sodium lipidosome injection does not have blood coagulation, no erythroagglutination, and injection is safe and reliable, can supply the clinical injection medication.