Journal of Antimicrobial Chemotherapy (2002) 50, 107-110
© 2002 The British Society for Antimicrobial Chemotherapy
Assay of teicoplanin in serum: comparison of high-performance liquid chromatography and fluorescence polarization immunoassay

1 Department of Clinical Biochemistry, Wythenshawe Hospital, Southmoor Road, Manchester M23 9LT; 2 Department of Medical Microbiology, Southmead Health Services NHS Trust, Bristol BS10 5NB, UK
Received 20 September 2001; returned 13 February 2002; revised 7 March 2002; accepted 25 March 2002
A simple liquid extraction coupled with reverse-phase HPLC and UV detection was shown to correlate well with fluorescence polarization immunoassay (FPIA) on the Abbott TDx analyser for serum teicoplanin analysis, r2 = 0.974, HPLC = 0.908 TDx + 2.324. A BlandAltman plot showed no significant bias between the results. The HPLC method was linear over the range 10100 mg/L. The HPLC method showed very good reproducibility, comparable to FPIA. The inter-assay coefficients of variation were 2.76%, 2.29% and 2.65% at 10.3, 51.4 and 77.1 mg/L, respectively, with intra-assay coefficients of variation of 1.86%, 1.97% and 1.17% at 9.13, 50.65 and 75.1 mg/L, respectively. Recoveries were between 99.1 and 101.8% within the analytical range. The HPLC method described is simple, robust, highly reproducible and suited to a clinical laboratory with the appropriate equipment.
* Corresponding author. Tel: +44-161-291-2135; Fax: +44-161-291-2927; E-mail: steven.mccann{at}smuht.nwest.nhs.uk
Deceased.