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J Chromatogr A. 2017 May 26;1499:48-56. doi: 10.1016/j.chroma.2017.02.061. Epub 2017 Feb 27.

High-throughput determination of vancomycin in human plasma by a cost-effective system of two-dimensional liquid chromatography.

Author information

1
Department of Pharmacy, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China.
2
Department of Pharmacy, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China; School of Pharmacy, Central South University, Changsha, Hunan 410083, China. Electronic address: botingzhou0918@126.com.

Abstract

Therapeutic drug monitoring (TDM) is one of the most important services of clinical laboratories. Two main techniques are commonly used: the immunoassay and chromatography method. We have developed a cost-effective system of two-dimensional liquid chromatography with ultraviolet detection (2D-LC-UV) for high-throughput determination of vancomycin in human plasma that combines the automation and low start-up costs of the immunoassay with the high selectivity and sensitivity of the liquid chromatography coupled with mass spectrometric detection without incurring their disadvantages, achieving high cost-effectiveness. This 2D-LC system offers a large volume injection to provide sufficient sensitivity and uses simulated gradient peak compression technology to control peak broadening and to improve peak shape. A middle column was added to reduce the analysis cycle time and make it suitable for high-throughput routine clinical assays. The analysis cycle time was 4min and the peak width was 0.8min. Compared with other chromatographic methods that have been developed, the analysis cycle time and peak width for vancomycin was reduced significantly. The lower limit of quantification was 0.20μg/mL for vancomycin, which is the same as certain LC-MS/MS methods that have been recently developed and validated. The method is rapid, automated, and low-cost and has high selectivity and sensitivity for the quantification of vancomycin in human plasma, thus making it well-suited for use in hospital clinical laboratories.

KEYWORDS:

Cost-effectiveness; Large volume injection; Therapeutic drug monitoring; Two-dimensional liquid chromatography

PMID:
28420531
DOI:
10.1016/j.chroma.2017.02.061
[Indexed for MEDLINE]

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