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Updated: Jun 16, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Measuring linezolid in biological fluids using high-efficiency liquid chromatography].
L Guerrero1, M Sarasa, Y López
1Servei de Farmacia, Hospital Clínic de Barcelona, Barcelona, Spain.
This study presents a validated, accurate, and precise high-efficiency liquid chromatography method for quantifying linezolid in biological fluids like plasma and cerebrospinal fluid, suitable for pharmacokinetic research.
Area of Science:
- Analytical Chemistry
- Pharmacology
Background:
- Accurate quantification of antibiotics in biological matrices is crucial for therapeutic drug monitoring and pharmacokinetic studies.
- Linezolid is an important antibiotic used to treat serious Gram-positive bacterial infections.
Purpose of the Study:
- To develop and validate a high-efficiency liquid chromatography (HELC) method for determining linezolid concentrations.
- To assess the method's applicability in various biological fluids such as plasma, vitreous humour, and cerebrospinal fluid.
Main Methods:
- Linezolid was extracted from biological samples using protein precipitation with perchloric acid.
- Chromatographic separation was achieved using a C18 stationary phase and a mobile phase of K2HPO4 buffer and acetonitrile.
- Ultraviolet detection at 254 nm was employed for quantification.
Main Results:
- The HELC method demonstrated excellent accuracy (94.4-106.1%) and precision (intra-day: 0.88-6%, inter-day: 3.7-5.6%).
- Recovery from plasma samples was high (93%), and the method proved linear across the studied concentration range.
- The assay is sensitive, fast, and cost-effective.
Conclusions:
- The validated HELC method is reliable for accurate linezolid quantification in diverse biological matrices.
- This method provides a robust foundation for future clinical pharmacokinetic investigations of linezolid.
- The assay's efficiency and cost-effectiveness make it suitable for routine clinical and research applications.
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