Different Vancomycin Immunoassays Contribute to the Variability in Vancomycin Trough Measurements in Neonates.

Substantial interassay variability (up to 20%) has been described for vancomycin immunoassays in adults, but the impact of neonatal matrix is difficult to quantify because of blood volume constraints in neonates. However, we provide circumstantial evidence for a similar extent of variability. Using...

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Publicado en:BioMed Research International Vol. 2016; pp. 1 - 5
Autores principales: Samardzic, Janko, Smits, Anne, Spriet, Isabel, Soldatovic, Ivan, Atkinson, Andrew, Bajcetic, Milica, Van Den Anker, John N., Allegaert, Karel
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 8/21/2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/21/2016
      vid: 2016
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2016/1974972
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        atl: Different Vancomycin Immunoassays Contribute to the Variability in Vancomycin Trough Measurements in Neonates.
      aug:
        au:
          Samardzic, Janko
          Smits, Anne
          Spriet, Isabel
          Soldatovic, Ivan
          Atkinson, Andrew
          Bajcetic, Milica
          Van Den Anker, John N.
          Allegaert, Karel
        affil: Institute of Pharmacology, Clinical Pharmacology and Toxicology, Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia
      sug:
        subj:
          Vancomycin Administration and Dosage
          Immunoassay
          Vancomycin Pharmacokinetics
          Human
          Infant, Newborn
          Chromatography, Liquid Methods
          Mass Spectrometry Methods
          Sepsis Drug Therapy
          Catheter-Related Infections Drug Therapy
          Academic Medical Centers
          Belgium
          Retrospective Design
          Descriptive Statistics
          T-Tests
          Mann-Whitney U Test
          Data Analysis Software
          P-Value
          Infant, Newborn: birth-1 month
      ab: Substantial interassay variability (up to 20%) has been described for vancomycin immunoassays in adults, but the impact of neonatal matrix is difficult to quantify because of blood volume constraints in neonates. However, we provide circumstantial evidence for a similar extent of variability. Using the same vancomycin dosing regimens and confirming similarity in clinical characteristics, vancomycin trough concentrations measured by PETINIA (2011-2012, n=400) were 20% lower and the mean difference was 1.93 mg/L compared to COBAS (2012–2014, n=352) measurements. The impact of vancomycin immunoassays in neonatal matrix was hereby suggested, supporting a switch to more advanced techniques (LC-MS/MS).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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