Barco Sebastiano, Risso Francesco Maria, Bruschettini Matteo, Bandettini Roberto, Ramenghi Luca A, Tripodi Gino, Castagnola Elio, Cangemi Giuliana
Clinical Pathology Laboratory Unit, Istituto Giannina Gaslini, Genoa, Italy.
Bioanalysis. 2014;6(21):2795-802. doi: 10.4155/bio.14.205.
Background Therapeutic drug monitoring (TDM) of antibiotics in children is of fundamental importance for effective patient management. The use of dried blood spot (DBS) offers a number of advantages over conventional blood collection. The aim of this study is to develop and validate a method to measure piperacillin/tazobactam in DBS. Results The analysis was performed by using LC-MS/MS operating in multiple reaction monitoring mode. The method has been validated by applying EMA guidelines and its suitability for TDM was evaluated by using samples from low birth weight neonates. Conclusion This paper describes a fast and cost-effective micromethod for the simultaneous determination of piperacillin/tazobactam levels on dried blood spot that is suitable for TDM in children.
背景 儿童抗生素治疗药物监测(TDM)对于有效的患者管理至关重要。与传统采血相比,使用干血斑(DBS)具有许多优势。本研究的目的是开发并验证一种测定DBS中哌拉西林/他唑巴坦的方法。结果 采用在多反应监测模式下运行的液相色谱-串联质谱(LC-MS/MS)进行分析。该方法已按照欧洲药品管理局(EMA)指南进行验证,并通过使用低出生体重新生儿的样本评估其在TDM中的适用性。结论 本文描述了一种快速且经济高效的微量方法,用于同时测定干血斑上的哌拉西林/他唑巴坦水平,该方法适用于儿童的TDM。