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Biomed Chromatogr ; 37(4): e5586, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36683129

RESUMO

Vancomycin is used as an antimicrobial agent for the treatment of severe gram-positive infections. The importance of therapeutic monitoring of antimicrobials has led to the development of more specific sample preparation techniques capable of identifying with accuracy the concentration of this substance in the organism. An aliquot of 10 µl of plasma was transferred to Whatman 903 paper and dried at room temperature. The extraction method was performed by cutting and transferring the paper to a microtube and adding sodium phosphate buffer and internal standard. The mixture was shaken and centrifuged, and a 5-µl aliquot was injected into the analytical system. The optimization of the main parameters that can influence the extraction efficiency was performed using multivariate approaches to obtain the best conditions. The method developed was validated, providing coefficients of determination higher than 0.994 and a lower limit of quantification of 1 mg/L. Within- and between-run precision ranged from 11.4 to 17.30% and from 6.65 to 13.51%, respectively. This method was successfully applied to 75 samples of patients undergoing vancomycin therapy. The method was rapid, simple, and environmentally friendly with satisfactory analytical performance and was advantageous over the laborious and time-consuming methodologies used in therapeutic drug monitoring routine analyses.


Assuntos
Espectrometria de Massas em Tandem , Vancomicina , Humanos , Cromatografia Líquida/métodos , Espectrometria de Massas em Tandem/métodos , Plasma , Monitoramento de Medicamentos/métodos , Teste em Amostras de Sangue Seco/métodos , Imunoensaio/métodos , Reprodutibilidade dos Testes
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