[1]张飞雨,张瑞霞,高慧儿,等.UPLC-MS/MS法同时测定人血浆中泊沙康唑、氟康唑、伏立康唑的血药浓度[J].天津医科大学学报,2022,28(02):195-199.
ZHANG Fei-yu,ZHANG Rui-xia,GAO Hui-er,et al.Simultaneous determination of plasma concentrations of posaconazole,fluconazole and voriconazole in human plasma by UPLC-MS/MS[J].Journal of Tianjin Medical University,2022,28(02):195-199.
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UPLC-MS/MS法同时测定人血浆中泊沙康唑、氟康唑、伏立康唑的血药浓度(PDF)
《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]
- 卷:
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28卷
- 期数:
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2022年02期
- 页码:
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195-199
- 栏目:
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技术与方法
- 出版日期:
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2022-03-20
文章信息/Info
- Title:
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Simultaneous determination of plasma concentrations of posaconazole,fluconazole and voriconazole in human plasma by UPLC-MS/MS
- 文章编号:
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1006-8147(2022)02-0195-05
- 作者:
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张飞雨1; 张瑞霞2; 高慧儿2; 张弋2
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(1.天津医科大学一中心临床学院,天津300192;2.天津市第一中心医院药学部,南开大学医学院,天津300192)
- Author(s):
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ZHANG Fei-yu1; ZHANG Rui-xia2; GAO Hui-er2; ZHANG Yi2
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(1. First Central Clinical College of Tianjin Medical University,Tianjin 300192,China;2.Department of Pharmacy,Tianjin First Central Hospital,School of Medicine,Nankai University,Tianjin 300192,China)
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- 关键词:
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泊沙康唑; 氟康唑; 伏立康唑; 超高效液相色谱-串联质谱法; 药物监测; 血药浓度
- Keywords:
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posaconazole; fluconazole; voriconazole; UPLC-MS/MS; drug monitoring; plasma concentration
- 分类号:
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R9
- DOI:
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- 文献标志码:
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A
- 摘要:
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目的:建立UPLC-MS/MS法同时测定血浆中3个三唑类抗真菌药物(泊沙康唑、氟康唑、伏立康唑)的浓度。方法:采用WatersBEHC18(2.1 mm×50 mm,1.7 μm)色谱柱,流速0.5 mL/min,流动相为甲醇(含2 mmol/L乙酸铵和0.1%甲酸)和2 mmol/L乙酸铵水溶液(含0.1%甲酸),梯度洗脱,柱温40°C。质谱条件采用电喷雾离子源,正离子多反应监测模式进行扫描分析。结果:泊沙康唑、氟康唑、伏立康唑的专属性良好,线性范围分别为0.083~20.680、0.328~82.075、0.080~20.085 μg/mL,范围内线性关系良好,r均大于0.99。批内、批间精密度(RSD)均小于7.60%,提取回收率和基质效应RSD值均小于14.2%,不同储存条件下稳定性良好,RSD值均小于10.69%。结论:该方法准确度高,重复性好,简便快捷,可同时测定3种血浆中三唑类抗真菌药的浓度,适用于临床对氟康唑、泊沙康唑及伏立康唑的治疗药物监测。
- Abstract:
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Objective:To establish an UPLC-MS/MS method for the simultaneous determination of three triazole antifungal drugs (posaconazole,fluconazole,voriconazole) in plasma. Methods: The chromatographic separation was performed on BEH C18(2.1 mm × 50 mm,1.7 μm) chromatographic column with methanol(containing 2 mmol/L ammonium acetate and 0.1% formic acid) and 2 mmol/L ammonium acetate Aqueous solution(containing 0.1% formic acid). The column temperature was 40°C. The flow rate was 0.5 mL/min with gradient elution.The mass spectrometry conditions adopt positive electrospray ionization together with multi-reaction monitoring mode for scanning analysis. Results: The specificity of posaconazole,fluconazole and voriconazole was good. The linear ranges were 0.083- 20.680,0.328-82.075,0.080-20.085 μg/mL,respectively. The linear relationship is good within the range,and r was greater than 0.99. The RSD of intra-batch and inter-batch precision were all less than 7.60%. The RSD of extraction recovery rate and matrix effect were all less than 14.2%.The stability was good under different storage conditions,and the RSD were all less than 10.69%. Conclusion: The method is accurate,repeatableand simple. It can simultaneously determine the concentration of three triazole antifungals in plasma. It is suitable for clinical monitoring of fluconazole,posaconazole and voriconazole.
参考文献/References:
[1] ENOCH D A,YANG H,ALIYU S H,et al. The changing epidemiology of invasive fungal infections[J]. Methods Mol Biol,2017,15(8):17-65.
[2] LAMOTH F. Epidemiology and risk factors of invasive fungal infections[M]. Germany: Infection Management in Hematology,Hematologic Malignancies,2021:1-12.
[3] 中国医师协会血液科医师分会,中国侵袭性真菌感染工作组. 血液病/恶性肿瘤患者侵袭性真菌病的诊断标准与治疗原则(第六次修订版) [J]. 中华内科杂志,2020,59(10): 754-763.
[4] 张飞雨,张瑞霞,宋学武,等. 影响泊沙康唑血药浓度相关因素的研究进展[J]. 中国医院药学杂志,2021,41(9): 971-976.
[5] DAVIS M R,NGUYEN M H,DONNELLEY M A,et al. Tolerability of long-term fluconazole therapy[J]. J Antimicrob Chemother,2019,74(3):768-771.
[6] LUONG M L,AL-DABBAG H M,GROLL A H,et al. Utility of voriconazole therapeutic drug monitoring:a meta-analysis[J]. J Antimicrob Chemother,2016,71(7):1786-1799.
[7] ASHBEE H R,BARNES R A,JOHNSON E M,et al. Therapeutic drug monitoring(TDM)of antifungal agents:guidelines from the British Society for Medical Mycology[J]. J Antimicrob Chemother,2014,69(5):1162-1176.
相似文献/References:
备注/Memo
- 备注/Memo:
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作者简介 张飞雨(1996-),硕士在读,研究方向:临床药学;通信作者:张弋,E-mail:wing_zh1821@sina.com。
更新日期/Last Update:
2022-03-20