Multicenter quality control study of amikacin assay for monitoring once-daily dosing regimens. International Antimicrobial Therapy Cooperative Group of the European Organization for Research and Treatment of Cancer.

Abstract:

:During once-daily dosing regimens of aminoglycosides, administration of large single doses results in high peak levels and low 24-h trough levels. However, commercial assays for monitoring aminoglycoside levels are designed to cover the smaller range of serum concentrations usually observed during multiple daily dosing regimens. The study assessed (a) the range of serum concentrations during once-daily dosing of amikacin and (b) the performance of a widely used assay system for measuring concentrations within this range. A total of 42 dosing intervals from eight patients receiving a once-daily regimen of amikacin (20 mg/kg) were monitored. Median (and range) of peak, 8- and 24-h trough levels were 61 (25-89), 5.9 (2.2-19), and 1.3 (< 0.8-6.2) mg/L, respectively. The accuracy of a fluorescence polarization immunoassay for measuring concentrations of amikacin during once-daily dosing regimens was assessed in an international multicenter study. The performance of the assay was excellent for peak and 8-h concentrations; median deviations from the target concentrations were < 5%. The majority of the trough levels (26 of 42) measured in patients during once-daily treatment were within the range of 1-2 mg/L and could also be determined with an accuracy sufficient for clinical monitoring (median deviations 14%).

journal_name

Ther Drug Monit

authors

Blaser J,König C,Fatio R,Follath F,Cometta A,Glauser M

doi

10.1097/00007691-199504000-00005

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

133-6

issue

2

eissn

0163-4356

issn

1536-3694

journal_volume

17

pub_type

临床试验,杂志文章,多中心研究
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  • Tacrolimus Exposure in Obese Patients: A Case-Control Study in Kidney Transplantation.

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  • Vancomycin serum concentrations in patients with renal dysfunction: a comparison of fluorescence polarization immunoassay and the enzyme-multiplied immunoassay technique.

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    pub_type: 临床试验,杂志文章

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  • Thiopurine therapies: problems, complexities, and progress with monitoring thioguanine nucleotides.

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