Austin Pathology

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Infliximab

Alternate Names
Anti -TNF Ab, Infliximab, Remicade, Inflectra
Ordering Information

IMPORTANT: Request slips for infliximab levels MUST indicate whether the patient is taking INFLECTRA or REMICADE. Failure to do so may delay testing. Please use the Austin Pathology Request form (download here).

 

For patients on Remicade (or if NSW has been specifically requested for an Inflectra patient), an additional Liverpool NSW Health Pathology request form is no longer required, as long as the Austin Pathology request contains "infliximab therapeutic drug monitoring". Antibodies to infliximab will be automatically performed if the infliximab level is low in samples sent to NSW.

 

For patients on Inflectra, testing is performed at Austin Heidelberg (unless testing in NSW has been specifically requested) and antibodies to infliximab will not be automatically performed. Please contact the Chemical Pathologist (03) 9496 5140 for antibody testing approval. 

Cerner Test Name
INFLIXIMAB
Laboratory
Biochemistry
Specimen
Blood
Container
Serum tube (gold cap OR red cap w. yellow insert)
Collection Instructions
Collect at room temperature
Minimum Adult Volume
5mL
Minimum Paediatric Volume
1mL
Frequency
As required
Reference Interval

Therapeutic range: 3.0 - 7.0 mg/L

Levels should be interpreted in conjunction with clinical assessment of the patient.

Test Code
INFL (NSW), INFLX (AUSTIN)
Container ID
S, SP, SNG
Storage Instructions
Store at 4°C
Additional (Storage) Instructions

Instructions for: Regional Specimen Receptions

Transport to the Heidelberg Laboratory at 4°C

 

Instructions for: Heidelberg Specimen Reception 

For INFLX (Inflectra):

Centrifuge sample and hand to Biochemistry. This test is performed in-house urgently.

 

For INFL (Remicade):

Serum is sent to SSWPS (Liverpool) NSW.

5ml blood in a serum tube is preferred in case measurement of antibodies is required. Send 1 mL serum at least. 

Transport Instructions
Transport at 4°C
Additional Transport Instruction

Instructions for: Heidelberg Sendaways Department

The serum sample should be spun-down, separated and kept refrigerated at 4°C. Send to SSWPS Liverpool with an ice pack.

External Laboratory
Sydney South West Pathology Service, Liverpool Hospital