Importance and Reality of TDM for Antibiotics Not Covered by Insurance in Japan

Int J Environ Res Public Health. 2022 Feb 22;19(5):2516. doi: 10.3390/ijerph19052516.

Abstract

Under the Japanese health insurance system, medicines undergoing therapeutic drug monitoring (TDM) can be billed for medical fees if they meet the specified requirements. In Japan, TDM of vancomycin, teicoplanin, aminoglycosides, and voriconazole, which are used for the treatment of infectious diseases, is common practice. This means the levels of antibiotics are measured in-house using chromatography or other methods. In some facilities, the blood and/or tissue concentrations of other non-TDM drugs are measured by HPLC and are applied to treatment, which is necessary for personalized medicine. This review describes personalized medicine based on the use of chromatography as a result of the current situation in Japan.

Keywords: HPLC; TDM; ceftriaxone; daptomycin; linezolid.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents* / therapeutic use
  • Drug Monitoring / methods
  • Insurance*
  • Japan
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Vancomycin