Tobramycin, Peak and Trough (Client 53380)

Test Code
32745


CPT Codes
Restricted Client Code<br>**All other clients should order test code 890**

Preferred Specimen
1 mL serum collected in (x2) red-top tubes (no gel)


Minimum Volume
0.2 mL (x2)


Other Acceptable Specimens
Plasma collected in sodium or lithium heparin (green-top) tube, EDTA (lavender-top) tube, 3.2% sodium citrate (light blue-top) tube, or fluoride/oxalate (gray-top) tube


Instructions
Collect peak 30 minutes after end of IV infusion or 60-90 minutes after IM dose. Collect as a trough just prior to next dose.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum separator tube


Methodology
Immunoassay

Setup Schedule
Sets up 5 days a week.


Report Available
Reports in 2 to 3 days.


Clinical Significance
Tobramycin is an aminoglycoside antibiotic used in the
treatment of gram-negative bacterial infections, especially
Pseudonomas, Proteus, Klebsiella and also Staphylococcus.
Tobramycin is potentially nephrotoxic and ototoxic. Serial
monitoring of peak and trough serum levels may provide the
clinician with information to maintain safe and therapeutic
levels.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.