Gentamycin Trough, Once/Day Dose

Message
Performed at York Hospital Laboratory.


Test Code
GENT1T


CPT Codes
80170

Preferred Specimen
0.2 mL serum collected in a no additive (red-top) tube, transferred to a plastic screw-cap vial


Other Acceptable Specimens
0.2 mL serum collected in a serum separator tube (SST)


Instructions
Remove the serum from the cellular material within 1 hour of collection.
Collect as a trough just before next dose.
Include time of last dose with the specimen.


Transport Container
Red-top tube (no gel)


Transport Temperature
Refrigerated


Specimen Stability
Room temperature: 2 hours
Refrigerated: 7 days
Frozen: 14 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum not removed from cells within 1 hour


Methodology
Immunoassay

Setup Schedule
Daily


Report Available
Same Day
Available STAT 1 Hour


Reference Range
<1.00 ug/mL
Detection Limit: 0.60 ug/mL


Clinical Significance
Gentamicin is used in the treatment of serious infections caused by susceptible strains of gram-negative microorganisms and particular gram-positive organisms that are resistant to less toxic antibiotics. Gentamicin is safe and effective only in a narrow range of concentrations for a given indication. Exposure to high gentamicin concentrations for a prolonged period may cause renal impairment or ototoxicity. Serum gentamicin measurements are used in the diagnosis and treatment of gentamicin overdose and in monitoring levels of gentamicin to ensure appropriate therapy.




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.