The authors evaluated the performance characteristics of the Abbott Ax
SYM Vancomycin II immunoassay in sera of patients with (n = 93 samples
) and without (n = 327 patients) renal dysfunction. Correlation of van
comycin measurements with the Abbott AxSYM Vancomycin, Abbott TDx/TDxF
Lx, Syva enzyme-multiplied immunoassay technique (EMIT), DuPont automa
ted chemistry analyzer !ACA), and high-performance liquid chromatograp
hy methods showed acceptable correlation as indicated by: slope values
>0.95, r-values >0.97, y-intercepts <1.7 mu g/ ml, and S-y/x ranging
from 9% to 15% of the average vancomycin value. The AxSYM Vancomycin I
I assay showed acceptable correlation with AxSYM vancomycin, TDx/TDxFL
x, and high-performance liquid chromatography methods in 93 samples fr
om patients with renal dysfunction. This monoclonal antibody-based ass
ay showed no apparent interference from the presence of human antimous
e antibody (HAMA) or the microbiologically inactive vancomycin crystal
line degradation product (CDP). The authors conclude that the AxSYM Va
ncomycin II assay showed satisfactory agreement with other methods tes
ted in this study.