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Enoxaparin is a frequently used anticoagulant in children. Unlike in adults, consensus guidelines recommend therapeutic monitoring to a target anti-factor Xa level of 0.5-1 U mL(-1) . Therapeutic ranges are not well correlated with clinical outcomes (e.g. thrombosis or hemorrhage), and assays are not standardized. Owing to limited reagent supplies, our clinical laboratory conducted a validation process and switched anti-FXa assays. Although the assays correlated well with each other, anti-FXa values were, on average, 33

作者:L A, Greene;C, Law;M, Jung;S, Walton;V, Ignjatovic;P, Monagle;L J, Raffini

来源:Journal of thrombosis and haemostasis : JTH 2014 年 12卷 9期

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作者:
L A, Greene;C, Law;M, Jung;S, Walton;V, Ignjatovic;P, Monagle;L J, Raffini
来源:
Journal of thrombosis and haemostasis : JTH 2014 年 12卷 9期
标签:
anticoagulants drug monitoring enoxaparin infant pediatrics thrombosis
Enoxaparin is a frequently used anticoagulant in children. Unlike in adults, consensus guidelines recommend therapeutic monitoring to a target anti-factor Xa level of 0.5-1 U mL(-1) . Therapeutic ranges are not well correlated with clinical outcomes (e.g. thrombosis or hemorrhage), and assays are not standardized. Owing to limited reagent supplies, our clinical laboratory conducted a validation process and switched anti-FXa assays. Although the assays correlated well with each other, anti-FXa values were, on average, 33