Therapeutic Drug Monitoring by Dried Blood Spot: Progress to Date and Future Directions

This article discusses dried blood spot (DBS) sampling in therapeutic drug monitoring (TDM). The most important advantages of DBS sampling in TDM are the minimally invasive procedure of a finger prick (home sampling), the small volume (children), and the stability of the analyte. Many assays in DBS...

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Vydáno v:	Clinical pharmacokinetics Ročník 53; číslo 11; s. 961 - 973
Hlavní autoři:	Wilhelm, Abraham J., den Burger, Jeroen C. G., Swart, Eleonora L.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Cham Springer International Publishing 01.11.2014 Adis International Springer Nature B.V
Témata:	Biological and medical sciences Blood Specimen Collection Dried Blood Spot Testing - methods Dried Blood Spot Testing - trends Drug Monitoring - methods Drug Monitoring - trends General pharmacology Hematocrit Humans Immunosuppressive Agents - blood Internal Medicine Medical sciences Medicine Medicine & Public Health Netherlands Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions Pharmacology. Drug treatments Pharmacology/Toxicology Pharmacotherapy Plasma - chemistry Reproducibility of Results Review Review Article Tandem Mass Spectrometry Netherlands Paper Spray Guanfacine Finger Prick Therapeutic Drug Monitoring Proficiency Testing Program Human Therapeutic drug monitoring Biological fluid Updating Blood
ISSN:	0312-5963, 1179-1926, 1179-1926
On-line přístup:	Získat plný text
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Abstract	This article discusses dried blood spot (DBS) sampling in therapeutic drug monitoring (TDM). The most important advantages of DBS sampling in TDM are the minimally invasive procedure of a finger prick (home sampling), the small volume (children), and the stability of the analyte. Many assays in DBS have been reported in the literature over the previous 5 years. These assays and their analytical techniques are reviewed here. Factors that may influence the accuracy and reproducibility of DBS methods are also discussed. Important issues are the correlation with plasma/serum concentrations and the influence of hematocrit on spot size and recovery. The different substrate materials are considered. DBS sampling can be a valid alternative to conventional venous sampling. However, patient correlation studies are indispensable to prove this. Promising developments are dried plasma spots using membrane and hematocrit correction using the potassium concentration.
AbstractList	This article discusses dried blood spot (DBS) sampling in therapeutic drug monitoring (TDM). The most important advantages of DBS sampling in TDM are the minimally invasive procedure of a finger prick (home sampling), the small volume (children), and the stability of the analyte. Many assays in DBS have been reported in the literature over the previous 5 years. These assays and their analytical techniques are reviewed here. Factors that may influence the accuracy and reproducibility of DBS methods are also discussed. Important issues are the correlation with plasma/serum concentrations and the influence of hematocrit on spot size and recovery. The different substrate materials are considered. DBS sampling can be a valid alternative to conventional venous sampling. However, patient correlation studies are indispensable to prove this. Promising developments are dried plasma spots using membrane and hematocrit correction using the potassium concentration. This article discusses dried blood spot (DBS) sampling in therapeutic drug monitoring (TDM). The most important advantages of DBS sampling in TDM are the minimally invasive procedure of a finger prick (home sampling), the small volume (children), and the stability of the analyte. Many assays in DBS have been reported in the literature over the previous 5 years. These assays and their analytical techniques are reviewed here. Factors that may influence the accuracy and reproducibility of DBS methods are also discussed. Important issues are the correlation with plasma/serum concentrations and the influence of hematocrit on spot size and recovery. The different substrate materials are considered. DBS sampling can be a valid alternative to conventional venous sampling. However, patient correlation studies are indispensable to prove this. Promising developments are dried plasma spots using membrane and hematocrit correction using the potassium concentration.This article discusses dried blood spot (DBS) sampling in therapeutic drug monitoring (TDM). The most important advantages of DBS sampling in TDM are the minimally invasive procedure of a finger prick (home sampling), the small volume (children), and the stability of the analyte. Many assays in DBS have been reported in the literature over the previous 5 years. These assays and their analytical techniques are reviewed here. Factors that may influence the accuracy and reproducibility of DBS methods are also discussed. Important issues are the correlation with plasma/serum concentrations and the influence of hematocrit on spot size and recovery. The different substrate materials are considered. DBS sampling can be a valid alternative to conventional venous sampling. However, patient correlation studies are indispensable to prove this. Promising developments are dried plasma spots using membrane and hematocrit correction using the potassium concentration.
Author	Swart, Eleonora L. den Burger, Jeroen C. G. Wilhelm, Abraham J.
Author_xml	– sequence: 1 givenname: Abraham J. surname: Wilhelm fullname: Wilhelm, Abraham J. email: aj.wilhelm@vumc.nl organization: Department of Clinical Pharmacology and Pharmacy, VU University Medical Center – sequence: 2 givenname: Jeroen C. G. surname: den Burger fullname: den Burger, Jeroen C. G. organization: Department of Clinical Pharmacology and Pharmacy, VU University Medical Center – sequence: 3 givenname: Eleonora L. surname: Swart fullname: Swart, Eleonora L. organization: Department of Clinical Pharmacology and Pharmacy, VU University Medical Center
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Issue	11
Keywords	Paper Spray Guanfacine Finger Prick Therapeutic Drug Monitoring Proficiency Testing Program Human Therapeutic drug monitoring Biological fluid Updating Blood
Language	English
License	CC BY 4.0 Open AccessThis article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
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PublicationDate	2014-11-01
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PublicationTitle	Clinical pharmacokinetics
PublicationTitleAbbrev	Clin Pharmacokinet
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PublicationYear	2014
Publisher	Springer International Publishing Adis International Springer Nature B.V
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Snippet	This article discusses dried blood spot (DBS) sampling in therapeutic drug monitoring (TDM). The most important advantages of DBS sampling in TDM are the...
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SubjectTerms	Biological and medical sciences Blood Specimen Collection Dried Blood Spot Testing - methods Dried Blood Spot Testing - trends Drug Monitoring - methods Drug Monitoring - trends General pharmacology Hematocrit Humans Immunosuppressive Agents - blood Internal Medicine Medical sciences Medicine Medicine & Public Health Netherlands Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions Pharmacology. Drug treatments Pharmacology/Toxicology Pharmacotherapy Plasma - chemistry Reproducibility of Results Review Review Article Tandem Mass Spectrometry
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Title	Therapeutic Drug Monitoring by Dried Blood Spot: Progress to Date and Future Directions
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