Tobramycin Level

Message
For patients on a regimen of divided daily tobramycin doses, collect a peak sample 30 - 60 minutes after intravenous infusion or 60 - 90 minutes after intramuscular injection.
Collect trough samples just before the next scheduled dose.
When adjusting dosage, measure peak and trough levels over the same dosing interval to obtain accurate estimates of half-life and clearance.


Test Code
TOBRP, TOBRR, TOBRT


Alias/See Also
Tobramycin Peak, TOBRP, Tobraycin Trough, TOBRT,  Tobramycin Random, TOBRR


CPT Codes
80200

Preferred Specimen
Serum:  RED (RED)


Other Acceptable Specimens
Plasma:  EDTA (LAV), Heparin (GRN)


Specimen Stability

Sample Stability:

  • Refrigerator Temperature:  Store the serum or plasma refrigerated at 2-8°C. for up to one month.
  • Freezer Temperature:  Store serum or plasma frozen (≤-20°C) for up to 1 month. 


Methodology
Beckman AU

Setup Schedule
24x7


Limitations
AMR:  0.6-60.0 ug/mL


Reference Range
Tobramycin Trough:   0.0-1.9 ug/mL        Critical:  > 3.0 ug/mL

Tobramycin Peak:       5.0-10.0 ug/mL       Critical:  >14.0 ug/mL

Tobramycin Random:   0.0-10.0 ug/mL      Critical:   >14.0 ug/mL
 


Clinical Significance
Tobramycin is an aminoglycoside antibiotic used to treat infections caused by many different bacteria.


Performing Laboratory
CRMC Laboratory



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.