Abstract
Objectives. To determine maternal-fetal transplacental passage of meropenem in the ex vivo human perfusion model.Study design. Term placentae (n = 6) were collected immediately after delivery. A single cotyledon was localized, perfused
and stabilized with physiologic Eagles minimal essential medium containing 3% bovine albumin and heparin as described by Chalier (Chalier JC. Criteria for evaluating perfusion experiments and presentation results. Contrib Gynecol Obstet 1985;
13:32–39). Meropenem was added to the maternal medium in concentrations similar to maternal serum peak and trough levels, then perfused through the maternal circulation of the cotyledon. To assess transfer and accumulation, fluid aliquots
from both the maternal and fetal compartments were collected over an hour at defined intervals in an open and closed system. Antipyrine