Test Code VANT Vancomycin Level, Trough
Additional Codes
| EPIC | LAB4223 |
Synonyms
- Vancocin
Clinical Significance
Vancomycin is a complex glycopeptide antibiotic, which is used for the treatment of infections caused by Gram‑positive organisms, primarily methicillin resistant Staphylococcus aureus (MRSA), coagulase‑negative Staphylococci, Streptococci or Enterococci, particularly in patients allergic to β‑lactams.
Common side effects include, amongst others, the following: (a) red man syndrome, a histamine‑mediated flushing during or immediately following infusion, (b) nephrotoxicity, and (c) ototoxicity; the latter two adverse events are dose/level dependent.
Source: Roche Cobas VANC4 Method Sheet Version 4.0 2023-11
Methodology
Kinetic interaction of microparticles in solution (KIMS) (Roche Cobas c503)
Sample Type
| Preferred Sample Type | |
|---|---|
| Light green top - Plasma | |
| Acceptable Sample Type(s) | |
|---|---|
| Dark green top - Plasma | |
| Yellow top - Serum | |
| Red top - Serum | |
Centrifuge: Yes
Specimen Minimum Volume
55 uL with insert cup
Specimen Stability
| Temperature | Time |
|---|---|
| Ambient (15-25°C) | 2 days |
| Refrigerated (2-8°C) (store) | 2 weeks |
| Frozen (-20°C) | 1 year |
Separate plasma or serum from cells within 2 hours.
Reference Ranges
| Therapeutic Range |
|---|
| 5.0 - 10.0 ug/mL |
| Critical Values |
|---|
| >25.0 ug/mL |
| Technical Range | |
|---|---|
| 4.0 - 80.0 ug/mL |
Rejection Criteria
| Hemolysis | Index >1,000 |
|---|---|
| Icterus | Index >60 |
| Lipemia | Index >1,000, ultracentrifuge |
Availability
| Performed | STAT |
|---|---|
| 24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Chemistry
CPT Code
80202
LOINC
4092-3 Vancomycin trough [Mass/Vol]