Abdelkawy Khaled, Le Tyson, Mahmoud Sherif Hanafy
Faculty of Pharmacy, Kafrelsheikh University, Kafrelsheikh 6860404, Egypt.
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB T6G 2E1, Canada.
Antibiotics (Basel). 2023 Feb 3;12(2):321. doi: 10.3390/antibiotics12020321.
Piperacillin (Pip)/tazobactam (Taz) is a broad-spectrum antimicrobial agent that has been commonly used in the intensive care unit for severe and life-threatening infections. Recent evidence suggests that therapeutic drug monitoring (TDM) for Pip could be beneficial in clinical practice to facilitate dose optimization and increase the odds of treatment success. The aim was to develop and validate a sensitive and simple high-performance liquid chromatography (HPLC) method for the simultaneous quantification of Pip and Taz in human plasma.
Samples (0.3 mL) were deproteinized with acetonitrile. The supernatant was evaporated and then reconstituted and injected into the HPLC. The chromatographic analysis was carried out by using the C18 column and gradient elution with the acetonitrile:water mobile phase mixture with 0.1% trifluoracetic acid at a flow rate of 0.8 mL/min using a UV detector at 218 nm.
The method had acceptable linearity (r > 0.99) over the concentration ranges of 0.5-400 μg/mL and 1-100 μg/mL for Pip and Taz, respectively. The method demonstrated acceptable inter- and intra-day precision and accuracy within ±20% with adequate stability results.
The developed method is sensitive and simple and utilizes simple sample preparation and elution steps, making it suitable and practical for Pip/Taz TDM.
哌拉西林(Pip)/他唑巴坦(Taz)是一种广谱抗菌药物,常用于重症监护病房治疗严重及危及生命的感染。近期证据表明,对哌拉西林进行治疗药物监测(TDM)在临床实践中可能有助于优化剂量并提高治疗成功几率。本研究旨在开发并验证一种灵敏且简便的高效液相色谱(HPLC)法,用于同时定量测定人血浆中的哌拉西林和他唑巴坦。
取0.3 mL样品,用乙腈进行蛋白沉淀。将上清液蒸发后再复溶,然后注入HPLC。采用C18柱,以乙腈∶水(含0.1%三氟乙酸)为流动相进行梯度洗脱,流速为0.8 mL/min,在218 nm波长处用紫外检测器进行色谱分析。
该方法在哌拉西林浓度范围为0.5 - 400 μg/mL、他唑巴坦浓度范围为1 - 100 μg/mL时具有可接受的线性关系(r > 0.99)。该方法在日内和日间的精密度及准确度均在±20%以内,且稳定性良好。
所开发的方法灵敏且简便,样品制备和洗脱步骤简单,适用于哌拉西林/他唑巴坦的TDM,具有实用性。