In vitro stability study of 10 beta-lactam antibiotics in human plasma samples

© 2023 Société Française de Pharmacologie et de Thérapeutique. Published by John Wiley & Sons Ltd..

BACKGROUND AND OBJECTIVES: Beta-lactam antibiotics are reported for some of them to be subject to a rapid degradation in infusion solutions and in human blood samples. However, the current data of stability available in blood samples are limited to a few number of beta-lactam antibiotics, and the methodology of the corresponding studies may be discussed. The objective of the present study is to evaluate the stability of 10 beta-lactam antibiotics in human plasma samples.

METHODS: Stability of amoxicillin, cefazolin, cefepime, cefotaxime, cefoxitin, ceftazidime, ceftriaxone, imipenem, meropenem, and piperacillin was evaluated at low and high concentrations at 20°C, 4°C, -20°C, and -80°C for 1, 7, 60, and 90 days, respectively.

RESULTS: Amoxicillin, cefepime, meropenem, and piperacillin were the least stable antibiotics. The maximum durations allowing the stability for all the evaluated beta-lactams at both tested concentrations were estimated at 3 h, 23 h, 10 days, and 35 days at 20°C, 4°C, -20°C, and -80°C, respectively.

CONCLUSION: We recommend to transport antibiotic plasma samples in ice at 4°C and even at -20°C if these samples come from external hospitals. Ideally, plasma samples should be stored at -80°C if possible; if not, the analysis of the samples should be performed as soon as possible in the limit of 10 days after a storage at -20°C.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Fundamental & clinical pharmacology - (2023) vom: 20. Nov.

Sprache:

Englisch

Beteiligte Personen:

Brenkman, Matthieu [VerfasserIn]
Cartau, Tom [VerfasserIn]
Pape, Elise [VerfasserIn]
Kolodziej, Allan [VerfasserIn]
Charmillon, Alexandre [VerfasserIn]
Novy, Emmanuel [VerfasserIn]
Jouzeau, Jean-Yves [VerfasserIn]
Gambier, Nicolas [VerfasserIn]
Scala-Bertola, Julien [VerfasserIn]

Links:

Volltext

Themen:

Beta-lactams
Drug monitoring
Human plasma
Journal Article
Quality assurance
Stability

Anmerkungen:

Date Revised 21.11.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/fcp.12969

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364772042