To date, procedures utilizing cup-plate microbiological assay (4, 19) and fluorometry (15) have been the only non-isotopic methods available to quantitatively measure ampicillin at the low concentrations found in urine and serum after therapeutic doses of the drug. However, ampicillin metabolites appear to interfere with determination of ampicillin by this fluorometric procedure (15). Problems inherent with cupplate microbiological assay systems include a 10 to 20% variability in precision, long incubation periods, the somewhat complicated procedures for calculating and plotting data, and the need for sample dilution to narrow ranges of concentration required for zonal inhibition. This latter problem is magnified when the drug is being assayed in samples of biological fluids.Because of these limitations, we have developed a turbidometric assay for ampicillin in serum. With this assay, the entire range of serum concentrations observed after a single oral dose of 250 mg can be determined directly, without dilution and with a high degree of precision.
MATERIALS AND METHODSGeneral procedures. Several organisms were tested for susceptibility. The