Institute of Pharmacy, University of Regensburg, Regensburg, Germany.
Infectious Diseases Unit, University Hospital Regensburg, Regensburg, Germany.
Biomed Chromatogr. 2020 Jun;34(6):e4820. doi: 10.1002/bmc.4820. Epub 2020 Mar 23.
Pharmacokinetic/pharmacodynamic indices of anti-infective drugs should be referenced to free drug concentrations. In the present study, clindamycin, flucloxacillin and tedizolid have been determined in human plasma by HPLC-UV. The drugs were separated isocratically within 3-6 min on a C column using mixtures of phosphate buffer-acetonitrile of pH 7.1-7.2. Sample treatment for the determination of total drug concentrations in plasma included extraction/back-extraction (clindamycin) or protein precipitation (flucloxacillin, tedizolid). The free drug concentrations were determined after ultrafiltration. An ultrafiltration device with a membrane consisting of regenerated cellulose proved to be suitable for all drugs. Maintaining a physiological pH was crucial for clindamycin, whereas maintaining body temperature was essential for tedizolid. The methods were applied to the analysis of total and free drug concentrations in clinical samples and were sufficiently sensitive for pharmacokinetic studies and therapeutic drug monitoring.
抗传染药物的药代动力学/药效动力学指数应参考游离药物浓度。本研究采用 HPLC-UV 法测定人血浆中的克林霉素、氟氯西林和替加环素。在 C 柱上,使用 pH 值为 7.1-7.2 的磷酸盐缓冲液-乙腈混合物,在 3-6 分钟内可实现药物的等度分离。用于测定血浆中总药物浓度的样品处理包括萃取/反萃取(克林霉素)或蛋白沉淀(氟氯西林、替加环素)。游离药物浓度在超滤后测定。由再生纤维素制成的膜的超滤装置被证明适用于所有药物。维持生理 pH 值对克林霉素至关重要,而维持体温对替加环素则至关重要。该方法应用于临床样本中总药物和游离药物浓度的分析,对于药代动力学研究和治疗药物监测具有足够的灵敏度。