Meropenem and ciprofloxacin in complicated gastric surgery for cancer patients: A simple SPE-UHPLC-PDA method for their determination in human plasma

Biomed Chromatogr. 2019 Mar;33(3):e4450. doi: 10.1002/bmc.4450. Epub 2019 Jan 9.

Abstract

A simple and rapid ultra-high-performance liquid chromatographic (UHPLC) for the simultaneous determination of meropenem and ciprofloxacin in human plasma was developed and validated. All of the analytes were separated in <5 min. A solid-phase extraction method was applied from sample preparation. Analytical separation was performed on a Poroshell SB C18 column (50 × 2.1 mm, 2.7 μm particle size) with photodiode array (PDA) detection. Meropenem and ciprofloxacin were determined at wavelengths of 300 and 277 nm, respectively. The mobile phase was a mixture of acetonitrile-10 mm ammonium acetate-methanol in gradient elution. The method has been validated for both drugs in gastric surgery for cancer patients. The method showed good linearity with correlation coefficients, r2 = 0.994 for the two drugs, as well as high precision (RSD < 10.5% in each case); accuracy ranged from -5.8 to +6.0%. The limit of quantitation of the two drugs was established at 0.02 and 0.01 μg/mL, respectively. Meropenem, ciprofloxacin and the internal standard were extracted from human plasma with a mean recovery ranging from 92.5 to 98.6%. The method was applied to quantify the drugs dosage in complicated gastric surgery patients.

Keywords: UHPLC; ciprofloxacin; human plasma; meropenem; solid-phase extraction.

MeSH terms

  • Anti-Bacterial Agents / blood*
  • Anti-Bacterial Agents / pharmacokinetics
  • Anti-Bacterial Agents / therapeutic use
  • Antibiotic Prophylaxis
  • Chromatography, High Pressure Liquid / methods*
  • Ciprofloxacin / blood*
  • Ciprofloxacin / pharmacokinetics
  • Ciprofloxacin / therapeutic use
  • Cross Infection / drug therapy
  • Cross Infection / prevention & control
  • Humans
  • Limit of Detection
  • Linear Models
  • Meropenem / blood*
  • Meropenem / pharmacokinetics
  • Meropenem / therapeutic use
  • Reproducibility of Results
  • Solid Phase Extraction / methods*
  • Stomach Neoplasms / surgery

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin
  • Meropenem