TEST DIRECTORY

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Laboratory:Akiruno

Amikacin

  • TEST NAME SPECIMEN
    REQUIREMENT
    (mL)
    CONTAINER CAP COLOR STORE
    TEMPERATURE
    (STABILITY)
    TURNAROUND
    TIME (DAY)
    METHODOLOGY REFERENCE RANGE
    (UNIT)
    BLOOD COLLECTION TIME
  • Amikacin
    Serum
    0.4
    S7P

    A00
    Freeze
    2-4 KIMS

    KIMS (Kinetic Interaction of Microparticles in Solution)
    A method in which an antigen-antibody reaction is performed using microparticles bound to antigens or antibodies, and the turbidity of the agglutination caused by the antigen-antibody reaction is measured from the transmittance by irradiating it with light.

    Peak 50-60
    Trough Less than 4
    (μg/mL)
    See below
    1 hour after the start of the infusion (30 minutes after the end if administered in 30 minutes) (Peak concentration)
    Within 30 minutes before administration (Trough concentration)

COMMENT


Be careful cross-reaction with arbekacin.
Amikamycin,
Biklin
Points to note concerning blood collecting containers
Avoid using a container with a serum separating agent. It may effect the results on the drug tests.
Points to note concerning the blood collecting time
1. The blood collecting time is for TDM (therapeutic drug monitoring).
2. In repetitive administration, collect a blood sample after a steady state is achieved.
3. When poisoning is developed, the peak concentration also needs to be measured.
4. The blood collecting time shows the standard time: a patient's condition should be taken into account in collecting a blood sample.

CONTAINER

supplementary information



グラム陰性菌感染症に対する標準治療における目標値

(単位:μg/mL)
最小発育阻止濃度 (MIC) 8μg/mL (重症) ≦4μg/mL (軽・中等症)
アミカシン Peak
50 〜60
Trough
4未満
Peak
41 〜49
Trough
4未満
最小発育阻止濃度 (MIC) 2μg/mL (重症) ≦1μg/mL (軽・中等症)
ゲンタマイシン Peak
15 〜20
Trough
1未満
Peak
8 〜10
Trough
1未満
トブラマイシン
抗菌薬TDMガイドライン2016より改変

※基準値は重症における目標値を基準値 (治療濃度範囲) として設定いたしました。

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