OBJECTIVE: To establish a method for the concentration determination of tazobactam sodium in human urine, and to study urinary excretion pharmacokinetics. METHODS: The urine samples were extracted by 10% perchloric acid, and then determined by LC-MS/MS. The separation was performed on a Hypersil GOLD C18 column with mobile phase consisted of ethanol-water (30 ∶ 70,V/V) at flow rate of 0.2 ml/min; the column temperature was set at 30 ℃, and sample size was 5 μl. ESI was used, and positive ion scanning was conducted in MRM mode; ion pair for quantitative analysis was m/z 301→168. 8 healthy volunteers were given Cefotaxime sodium and tazobactam sodium for injection (6 ∶ 1,m/m) 2.34 g intravenously, and then urine samples were collected before medication, 0-2, 2-5, 5-8, 8-12 and 12-16 h after medication. RESULTS: The linear range of tazobactam sodium was 0.25-500 μg/ml (r=0.999 9). The limit of quantitation was 0.25 μg/ml; RSDs of inter-batch and intra-batch were all lower than 10%; method recoveries were 93.8%-111.8%; extraction recoveries were 93.9%-99.7%; medium effect ranged 87.6%-107.2%. 16 h after medication, accumulative excretion amount of tazobactam sodium in urine was (209.70±39.24) mg and accumulative excretion rate was (61.7±11.5)%. CONCLUSIONS: LC-MS/MS method can be used for the concentration determination of tazobactam sodium in human urine and excretion kinetics study. It is simple, rapid and sensitivity; tazobactam sodium mainly excrete viareral tissue.