Order Code LAB4616 Tobramycin, Trough, Serum
Additional Codes
MAYO CODE: TOBTA
Useful For
Monitoring adequate clearance of tobramycin near the end of a dosing cycle
Method Name
Immunoassay
Reporting Name
Tobramycin, Trough, SSpecimen Type
SerumSpecimen Required
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 0.5 mL
Collection Instructions:
1. Draw blood no more than 30 minutes before next scheduled dose.
2. Serum gel tubes should be centrifuged within 2 hours of collection.
3. Red-top tubes should be centrifuged, and the serum aliquoted into a plastic vial within 2 hours of collection.
Specimen Minimum Volume
0.25 mL
Specimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Serum | Refrigerated (preferred) | 7 days |
Frozen | 28 days | |
Ambient | 72 hours |
Reject Due To
Gross hemolysis | Reject |
Reference Values
Therapeutic: <2.0 mcg/mL
Toxic: >2.0 mcg/mL
Method Description
The assay is based on a homogeneous enzyme immunoassay technique used for the quantitative analysis of tobramycin in human serum or plasma. The assay is based on competition between drug in the sample and drug labeled with the enzyme glucose-6-phosphate dehydrogenase (G6PDH) for antibody binding sites. Enzyme activity decreases upon binding to the antibody, so the drug concentration in the sample can be measured in terms of enzyme activity. Active enzyme converts oxidized nicotinamide adenine dinucleotide (NAD) to NADH, resulting in an absorbance change that is measured spectrophotometrically. Endogenous serum G6PDH does not interfere because the coenzyme functions only with the bacterial (Leuconostoc mesenteroides) enzyme employed in the assay.( Package insert: Roche Tobramycin reagent, Roche Diagnostic Corp, Indianapolis, IN)
Day(s) Performed
Monday through Sunday
Performing Laboratory

CPT Code Information
80200
Forms
If not ordering electronically, complete, print, and send a Therapeutics Test Request (T831) with the specimen.