Cefuroxime (Parenteral) Concentration in Blood
This test measures the amount of the antibiotic cefuroxime in your blood. It helps doctors check how well your body is responding to this medication.
["This test helps ensure your cefuroxime dose is appropriate for your treatment."]
Key facts at a glance
- LOINC
- 144-6
- Short code
- CEFURX-MLC
- Synonyms
- Cefuroxime Parenter Islt MLC
- Category
- chemistry
- Sample
- serum
- Container
- Sterile serum separator tube (SST, red-gray marble top) or plain red-top tube; alternatively, isolate on appropriate solid medium (blood agar, chocolate agar, or Mueller-Hinton agar) submitted on a transport swab in Amies or Stuart transport medium
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 0 years
- Method
- Minimum Lethal Concentration (MLC) determination by broth macrodilution or microdilution method using serial two-fold dilutions of cefuroxime in supplemented growth medium, with subculture of each dilution tube/well onto solid agar to identify the lowest concentration yielding no bacterial growth (99.9% kill endpoint)
- CPT
- 87181
- SNOMED
- 104193007
- Specimen volume
- 5–10 mL whole blood for serum; or actively growing pure bacterial isolate on solid medium
- Stability
- Serum: stable 2 hours at 15–25°C, 24 hours at 2–8°C, longer storage at -70°C. Bacterial isolate: stable on solid medium up to 48 hours at 2–8°C; do not freeze. Subculture working stock immediately upon receipt.
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 24–72 hours
- Order
- routine
Why This Test Is Done
Doctors may order this test if you’re taking cefuroxime (a second-generation cephalosporin antibiotic) intravenously (by IV) to monitor your drug levels. It helps adjust your treatment plan based on how much of the drug is circulating in your bloodstream.
What to Expect Before the Test
No special preparation is needed. The test involves a simple blood draw from a vein, usually in your arm. You may feel a small pinch, but it’s quick and typically done in a lab or clinic setting.
How the Test Works
Blood is collected and sent to a lab where it’s analyzed using a sensitive immunoassay method (likely a chemiluminescent immunoassay, or CLIA). This detects the presence and concentration of cefuroxime in your bloodstream.
What the Results Mean
Results are used to confirm therapeutic drug levels—meaning the amount of cefuroxime is within a safe and effective range for your infection or condition. If levels are too low, your doctor may increase your dose. If too high, adjustments may be needed to avoid side effects.
Reference range
Susceptibility Interpretive Criteria (CLSI M100 / EUCAST breakpoints) for Cefuroxime: Susceptible ≤ 4 µg/mL (parenteral), Susceptible-Dose Dependent 8–16 µg/mL, Resistant ≥ 32 µg/mL. MLC is interpreted alongside MIC to confirm bactericidal activity; MLC/MIC ratio ≤ 4 indicates bactericidal agent.N/A
No special patient preparation is required. Specimen should be collected prior to administration of the next scheduled dose of cefuroxime when possible to avoid artificially elevated drug concentrations that may suppress organism growth in vitro.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Monitoring cefuroxime levels is critical for patients receiving IV therapy, especially those with kidney issues or those on long-term treatment. It prevents underdosing (which may fail to treat infection) or overdosing (which could cause toxicity).
Short name
Cefuroxime Level
Frequently asked questions
What does a cefuroxime blood test measure?
Why would my doctor order this test?
Can I eat or drink before this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy