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Test Code GENRA Gentamicin, Random, Serum

Useful For

Monitoring adequacy of serum concentration during gentamicin therapy in specimens for which no collection timing information is provided

Reporting Name

Gentamicin, Random, S

Specimen Type

Serum


Specimen Required


Collection Container/Tube: 

Preferred: Serum gel 

Acceptable: Red top 

Submission Container/Tube: Plastic vial 

Specimen Volume: 0.5 mL 

Collection Instructions:  

1. Serum gel tubes should be centrifuged within 2 hours of collection. 

2. Red-top tubes should be centrifuged, and the serum aliquoted into a plastic vial within 2 hours of collection.


Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 7 days
  Frozen  14 days
  Ambient  72 hours

Reject Due To

Gross hemolysis Reject

Reference Values

Gentamicin, Peak

Therapeutic: 3.0-12.0 mcg/mL

Toxic: >12.0 mcg/mL

Gentamicin, Trough

Therapeutic: <2.0 mcg/mL

Toxic: >2.0 mcg/mL

Method Description

The assay is a homogeneous particle-enhanced turbidimetric immunoassay. The assay is based on competition between drug in the sample and drug coated onto a microparticle for antibody binding sites of the gentamicin antibody reagent. The gentamicin-coated microparticle reagent is rapidly agglutinated in the presence of the antigentamicin antibody reagent and in the absence of any competing drug in the sample. The rate of absorbance change is measured photometrically. When a sample containing gentamicin is added, the agglutination reaction is partially inhibited, slowing down the rate of absorbance change. A concentration-dependent classic agglutination inhibition curve can be obtained with maximum rate of agglutination at the lowest gentamicin concentration and the lowest agglutination rate at the highest gentamicin concentration.(Package insert: Roche Gentamicin reagent, Roche Diagnostic Corp, Indianapolis, IN 01/2018)

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 day

Specimen Retention Time

1 week

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

80170

LOINC Code Information

Test ID Test Order Name Order LOINC Value
GENRA Gentamicin, Random, S 35668-3

 

Result ID Test Result Name Result LOINC Value
GENRA Gentamicin, Random, S 35668-3

Forms

If not ordering electronically, complete, print, and send a Therapeutics Test Request (T831) with the specimen.