scholarly journals Quantitative lipopolysaccharide analysis using HPLC/MS/MS and its combination with the limulus amebocyte lysate assay

2015 ◽  
Vol 56 (7) ◽  
pp. 1363-1369 ◽  
Author(s):  
Jean-Paul Pais de Barros ◽  
Thomas Gautier ◽  
Wahib Sali ◽  
Christophe Adrie ◽  
Hélène Choubley ◽  
...  
1998 ◽  
Vol 27 (3) ◽  
pp. 582-591 ◽  
Author(s):  
D. W. Bates ◽  
J. Parsonnet ◽  
P. A. Ketchum ◽  
E. B. Miller ◽  
T. J. Novitsky ◽  
...  

2000 ◽  
Vol 21 (12) ◽  
pp. 771-774 ◽  
Author(s):  
Udo Buchholz ◽  
Chesley Richards ◽  
Rekha Murthy ◽  
Matthew Arduino ◽  
Doreen Pon ◽  
...  

Objective:To identify risk factors associated with an unexpected outbreak of pyrogenic reactions (PR) following intravenous gentamicin.Design:We conducted two cohort studies. PRs were defined as chills, rigors, or shaking within 3 hours after initiating the gentamicin infusion during the preepidemic (December 1, 1997-January 15,1998) or epidemic (May 1-June 15,1998) periods. We tested gentamicin vials for endotoxin using the limulus amebocyte lysate assay.Setting:Inpatient services of a large community hospital in Los Angeles, California.Results:During the epidemic period, 22 (15%) of 152 patients developed documented PRs following intravenous gentamicin. PRs were more likely among patients receiving single daily dosing (SDD) than multiple daily dosing gentamicin (20/73 [27%] vs 2/79 [3%]; relative risk, 10.8; 95% confidence interval, 2.644.7). Laboratory analysis of gentamicin vials found endotoxin levels that were higher among Fujisawa-brand gentamicin (implicated brand) than gentamicin used after the outbreak terminated (non-implicated brand). Although endotoxin levels in the vials did not exceed US Pharmacopeia limits (1.7 endotoxin units/mg gentamicin), the use of SDD gentamicin may place patients at greater risk of receiving doses of endotoxin above the threshold for PRs in humans.Conclusions:Reassessment of the acceptable amounts of endotoxin in gentamicin and other parenteral products should be considered when dosing intervals used in clinical practice change.


PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e41258 ◽  
Author(s):  
Ashwin Balagopal ◽  
Lucio Gama ◽  
Veronica Franco ◽  
Julia N. Russell ◽  
Jeffrey Quinn ◽  
...  

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