Quantification of 15 Antibiotics Widely Used in the Critical Care Unit with a LC-MS/MS System: An Easy Method to Perform a Daily Therapeutic Drug Monitoring

Potential under- or overdose of antibiotics may occur in intensive care units due to high variability in plasma concentrations. The risk is either treatment failure or toxicity. Thus, therapeutic drug monitoring of antibiotics may guide dosing adjustment, maximising antibacterial efficacy and minimi...

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Main Authors: Catherine Feliu (Author), Celine Konecki (Author), Tristan Candau (Author), Damien Vautier (Author), Cyril Haudecoeur (Author), Claire Gozalo (Author), Yoann Cazaubon (Author), Zoubir Djerada (Author)
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Published: MDPI AG, 2021-11-01T00:00:00Z.
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001 doaj_2d1b96fe9dce4d4f807db23f0844f443
042 |a dc 
100 1 0 |a Catherine Feliu  |e author 
700 1 0 |a Celine Konecki  |e author 
700 1 0 |a Tristan Candau  |e author 
700 1 0 |a Damien Vautier  |e author 
700 1 0 |a Cyril Haudecoeur  |e author 
700 1 0 |a Claire Gozalo  |e author 
700 1 0 |a Yoann Cazaubon  |e author 
700 1 0 |a Zoubir Djerada  |e author 
245 0 0 |a Quantification of 15 Antibiotics Widely Used in the Critical Care Unit with a LC-MS/MS System: An Easy Method to Perform a Daily Therapeutic Drug Monitoring 
260 |b MDPI AG,   |c 2021-11-01T00:00:00Z. 
500 |a 10.3390/ph14121214 
500 |a 1424-8247 
520 |a Potential under- or overdose of antibiotics may occur in intensive care units due to high variability in plasma concentrations. The risk is either treatment failure or toxicity. Thus, therapeutic drug monitoring of antibiotics may guide dosing adjustment, maximising antibacterial efficacy and minimising toxicity. The aim of this study was to develop and validate a method for the analysis of 15 antibiotics including beta-lactams, linezolid, fluoroquinolones, daptomycin, and clindamycin to have a complete panel in the management of infections. We proposed to develop a fast, sensitive, and quantitative method for the analysis of 15 antibiotics using ultra-performance liquid chromatography coupled with triple quadrupole mass spectrometer (UPLC-MS/MS) technology. this method required only 100 µL of plasma and consisted of a rapid liquid-liquid deproteinisation using methanol. Calibration curves ranged from 0.078 to 500 mg/L depending on the molecules, and were defined according to a therapeutic range. Inter- and intra-assay precisions values were less than 15%. This work described the development and the full validation of a precise, sensitive and accurate assay using UPLC-MS/MS technology. After validation, this new assay was successfully applied to routine therapeutic drug monitoring. 
546 |a EN 
690 |a therapeutic drug monitoring 
690 |a mass spectrometry 
690 |a antibiotics 
690 |a multiparametric analysis 
690 |a Medicine 
690 |a R 
690 |a Pharmacy and materia medica 
690 |a RS1-441 
655 7 |a article  |2 local 
786 0 |n Pharmaceuticals, Vol 14, Iss 12, p 1214 (2021) 
787 0 |n https://www.mdpi.com/1424-8247/14/12/1214 
787 0 |n https://doaj.org/toc/1424-8247 
856 4 1 |u https://doaj.org/article/2d1b96fe9dce4d4f807db23f0844f443  |z Connect to this object online.