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Fluoroquinolone (e.g., ciprofloxacin, levofloxacin) Concentration in Cerebrospinal Fluid by Mass

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of certain antibiotics (fluoroquinolones) in your cerebrospinal fluid (CSF). These drugs are sometimes used to treat serious infections in the central nervous system, such as meningitis.

Quick summary

["Knowing your antibiotic levels helps doctors determine if the treatment is working and adjusts dosing if needed."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
49074-8
Short code
FLUAV IgA CSF-mCnc
Synonyms
FLUAV IgA CSF-mCnc
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have or are suspected of having a bacterial infection in the brain or spinal cord (e.g., meningitis). Fluoroquinolones are often prescribed for these conditions, and monitoring their levels helps ensure proper dosing and effectiveness.

What to Expect Before the Test

No special preparation is usually needed. You may receive a local anesthetic to numb the area where the needle will be inserted. The test involves a small sample of CSF being taken through a procedure called a lumbar puncture (spinal tap).

What the Test Results Mean

Results show the concentration of fluoroquinolone in your CSF. Low levels may indicate insufficient treatment, while very high levels could suggest toxicity or improper dosing. Your doctor will interpret these results in the context of your medical history and symptoms.

Potential Side Effects or Risks

The most common risk is temporary pain or discomfort at the injection site. Rarely, complications like headaches, dizziness, or infection may occur. Always inform your doctor about any allergies or concerns before the procedure.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated fluoroquinolone levels in CSF confirm adequate antibiotic penetration into the central nervous system, which is critical for treating infections like meningitis. Low levels may prompt adjustments to dosage or choice of antibiotic. Monitoring helps prevent overuse or underuse of these powerful medications.

Short name

Fluoroquinolone CSF Level

Frequently asked questions

What does a normal or abnormal result mean?
A normal result depends on your treatment plan. If your doctor prescribed fluoroquinolones, the test helps verify the drug is reaching the right amount in your CSF to fight infection. Abnormal results may signal the need for a different antibiotic or dosage change.
How often will I need this test?
Your doctor will determine how often you need this test based on your treatment timeline and response to the medication. It may be done once during treatment or more frequently if needed for monitoring.
Can I eat or drink before the test?
You can usually eat and drink normally before the test unless your doctor specifies otherwise. Follow any specific instructions they provide to ensure accurate results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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