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0155171-QMS-Vancomycin-Assay-EL
QMS® Vancomycin (VANCO)

  In Vitro   Rx Only
0373589 10017224

         Quantitative Microsphere System (QMS)    .        .                     .

    QMS® Vancomycin           
     .

                     ,      .

                Amycolatopsis orientalis.1               aureus     .2               ,  ,   .         20  40 µg/mL,      5  10 µg/mL.3       ()    ()      .              .1

       .    24      ,    ,  90%       .              6 .      55%   .                 .4,5               ,               .                .

     QMS Vancomycin        .                        .         ,     -       .        .       ,     ,        .                               .



 QMS Vancomycin,

0373589, 10017224         

  :

0373589  1 1 x 22 mL  2 1 x 22 mL

10017224  1 1 x 19 mL  2 1 x 19 mL

 
   - ()         

 <1,0% 0,05% <0,3% 0,05%

   
·    . ·    ,         
. ·               
 . ,         ,     .      ,         . ·          ,                        .           ,    . ·    ,            ()   ,        ,      ,         . ·        ,       (          ).

:               ,         .

        ,      2  8 °C.             32 °C.

      
·  in vitro  . ·        .

:   QMS Vancomycin (VANCO)  5,0 %       2,0%    (HSA). H317 -      . H334 -            .

A   //.            .    /     /.    ,       .      :      .   :     ,                .        : / .    :       .       .   /      /// .

:        /   .                HBsAg, -HIV 1/2  -HCV.                       .   ,                    .

               QMS Vancomycin:





 ·   

·   ·  



· EDTA (K3)
·      

· EDTA (K2)

·     (  )

            QMS Vancomycin.            .

·  ,                  .
·           . ·       ,      . ·         ,          
  .                .         .6 ·       ,               2  8 °C.          ,       (-10 °C)  14     . ·      QMS Vancomycin         ( ),    ,         .            .

  
·  QMS Vancomycin,

0373589, 10017224

  ,   

·  

·  QMS Vancomycin,

0373597

CAL A-F: 1 x 1,0 mL 

            ,       .

     QMS Vancomycin CAL A (0,0 g/mL)          .

                 100,0 µg/mL     QMS Vancomycin CAL A (0,0 µg/mL)           .     ,                0,55 µg/mL.           ,         .
   =   x   
   = (  +  CAL A)  
   QMS Vancomycin         (6 ).    ,     QMS Vancomycin A, B, C, D, E  F.
      .                   .           ,    . :  Vancomycin CAL A         .
   ,      /       ,         .            ,  /       .
      QMS Vancomycin: ·               24 . ·     ,         . ·               ,              .
        QMS Vancomycin      µg/mL  µmol/L.       µg/mL   µmol/L ,   µg/mL   0,69     1,44925.
     ,                    .
          .      ,       .
     ,        ,           QMS Vancomycin.          .            ,      ,   .
  ,          .                  ,            .          ,          .                   .               ,      .             ,        .
   «   »  «  »    .
          20  40 µg/mL     5  10 µg/mL         .7 ,                   .                  .    ,    ,         80  100 µg/mL,            30 µg/mL.8,9     ,    .4
           Hitachi 717   .              .

   (LOQ)/     (LOQ)   QMS Vancomycin                 (  ±20% CV   ±15%).   LOQ    2,0 µg/mL.
       2,5 µg/mL  100 µg/mL.
                             .              .    .
  =    x 100  

  (µg/mL) 100,0 75,0 50,0 37,5 25,0 17,5 10,0 7,5 5,0
  : 99,61

   (µg/mL)
95,02 73,24 52,25 39,70 27,65 17,45 9,27 6,83 4,97

% 
95,02 97,65 104,50 105,88 110,61 99,70 92,70 91,11 99,33

             EP6-A         (NCCLS).10   QMS Vancomycin F (100,0 µg/mL)    QMS Vancomycin A (0,0 µg/mL)      75,0, 37,5, 17,5, 7,5  2,5 µg/mL.          QMS Vancomycin.              .    .

  (µg/mL) 75,0 37,5 17,5 7,5 2,5
  : 100,17

   (µg/mL)
75,77 37,20 16,75 7,33 2,68

% 
101,02 99,21 95,71 97,69 107,20

          NCCLS EP9-.11      QMS Vancomycin          FPIA   .     .      0,04 µg/mL  100 µg/mL.       Passing-Bablok     .



1,031

 

1,115

  (R2)

0,970

 

146

        NCCLS EP5-A.12

            .      ,      20 .        2 .    ,    ,           SD  CV.    .

2

  



 N



SD CV (%)

(g/mL)

1

80

7,57

0,27 3,59

2

80

20,79

0,51

2,44

3

80

33,65

0,80

2,37

 : <10%   CV

 
SD CV (%) 0,43 5,72 0,97 4,66 0,95 2,83


SD CV (%) 0,70 8,84 1,29 6,21 1,72 5,12

    ,       QMS Vancomycin   ,      10%     .         NCCLS EP7-.13     .

 

 

N



%

(g/mL) 



10 g/dL

3

24,92

93,64



70 mg/dL

3

27,00

100,07



500 mg/dL

3

25,97

97,58

 G (IgG)

6 g/dL

3

25,90

97,34



1.150 mg/dL

3

21,18

91,64

HAMA  1*

  

3

28,27

105,31

HAMA  2*

  

3

28,55

103,91



500  USP/mL

3

26,46

99,44



1.000 mg/dL

3

9,41

92,62

 

1.100 IU/mL

3

6,70

93,23

*HAMA =  - 

         ,    .           25 µg/mL      QMS Vancomycin.    .

  (g/mL) 100 50 25 10

%  0,99 0,29 0,16 0,04

         CDP-I (  -I).14        .  CDP-I   100 µg/mL     25 µg/mL .        <5% .

      
  
 G

  5-   V       

 
      

 1. Vancomycin: in Compendium of Pharmaceuticals and Specialties. Toronto, Canadian Pharmacist Associations, 2000:1668-70. 2. Jarvis WR. Epidemiology, appropriateness, and cost of vancomycin use. Clin Infect Dis 1998;26:1200-3. 3. Hospital Infection Control Practices Advisory Committee. Recommendations for preventing spread of vancomycin resistance. Infect Control Hosp Epidemiol 1995;16(2):105-13. 4. Wilhelm MP. Vancomycin. Mayo Clin Proc 1991;66:1165-70. 5. Moellering RC, Krogstad DJ, Greenblatt DJ. Pharmacokinetics of vancomycin in normal subjects and in patients with reduced renal function. Rev Infect Dis 1981;3[supp]:s230-5. 6. Dasgupta A, Dean R, Saldana S, et al. Absorption of therapeutic drugs by barrier gels in serum separator blood collection tubes. Am J Clin Pathol 1994;101(4): 456-61. 7. Tobin CM, Darville JM, Thomson AH, et al. Vancomycin therapeutic drug monitoring: is there a consensus view? The results of a UK National External Quality Assessment Scheme (UK NEQAS) for Antibiotic Assays Questionnaire. J Antimicrob Chemother 2002;50:713-8. 8. Cook FV, Farrar WE Jr. Vancomycin revisited. Ann Intern Med 1978;88(6):813-8. 9. Fong KL, Ho DW, Bogerd L, et al. Sensitive radioimmunoassay for vancomycin. Antimicrob Agents Chemother 1981;19(1):139-43. 10. Tholen DW, Kroll M, Astles JR, et al. Evaluation of the Linearity of Quantitative Measurement Procedures: A Statistical Approach; Approved Guideline (EP6-A). Villanova, PA: The National Committee for Clinical Laboratory Standards, 2003. 11. Kennedy JW, Carey RN, Coolen RB, et al. Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline (EP9-A). Wayne, PA: The National Committee for Clinical Laboratory Standards, 1995. 12. Kennedy JW, Carey RN, Coolen RB, et al. Evaluation of Precision Performance of Clinical Chemistry Devices; Approved Guideline (EP5-A). Villanova, PA: The National Committee for Clinical Laboratory Standards, 1999. 13. Powers DM, Boyd JC, Glick MR, Miller WG. Interference Testing in Clinical Chemistry; Approved Guideline (EP7-A). Villanova, PA: The National Committee for Clinical Laboratory Standards, 2002. 14. Harris CM, Kopecka H, Harris TM. Vancomycin: structure and transformation to CDP-I. J Am Chem Soc 1983;105(23):6915-22.

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            .                    QMS Vancomycin.      500 µg/mL          25 g/mL.                .       <0,3% .

 
 B 
 
  

           

          

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