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Drug Dosing in Renal Diseases: Measurement of Serum Creatinine Concentration and Clearance01:25

Drug Dosing in Renal Diseases: Measurement of Serum Creatinine Concentration and Clearance

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In healthy individuals, serum creatinine levels remain stable due to a balance between its constant production—primarily from muscle metabolism—and renal excretion. Creatinine is freely filtered by the glomeruli, making it a valuable marker for estimating renal function. When the glomerular filtration rate (GFR) decreases, the kidneys can only eliminate less creatinine, causing serum levels to rise.Serum creatinine concentration is widely used to estimate creatinine clearance...
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Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
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Drug Dosing in Renal Diseases: Measurement of Glomerular Filtration Rate01:25

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The glomerular filtration rate (GFR) is a critical indicator of kidney health, reflecting how well the kidneys filter blood. Changes in GFR can signal potential kidney impairment, necessitating accurate measurement methods to monitor kidney function effectively.Various molecules can serve as markers for GFR measurement, with the ideal marker meeting several specific criteria. It must freely filter at the glomerulus, avoid reabsorption or secretion by the renal tubules, remain unmetabolized, not...
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Two low-cost digital camera-based platforms for quantitative creatinine analysis in urine.

Bruno Debus1, Dmitry Kirsanov2, Irina Yaroshenko3

  • 1Institute of Chemistry, St. Petersburg State University, St. Petersburg 199034, Russia.

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This study introduces two novel, low-cost methods, CD Spectroscope (CDS) and Computer Screen Photo-assisted Technique (CSPT), for rapid creatinine level assessment in urine. These techniques offer accurate and repeatable results, simplifying clinical diagnostics for renal and muscular dysfunctions.

Keywords:
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Area of Science:

  • Clinical Chemistry
  • Biomedical Engineering
  • Analytical Chemistry

Background:

  • Creatinine is a vital biomarker for assessing renal and muscular health.
  • Existing creatinine quantification methods often involve complex equipment, costly reagents, or specialized expertise.
  • There is a need for accessible, rapid, and accurate creatinine measurement techniques.

Purpose of the Study:

  • To develop and validate two novel, home-made platforms for rapid creatinine assessment in human urine.
  • To evaluate the performance of these platforms compared to established methods.
  • To provide accessible diagnostic tools for clinical analysis.

Main Methods:

  • Development of two distinct analytical platforms: a CD Spectroscope (CDS) and a Computer Screen Photo-assisted Technique (CSPT).
  • Quantification of creatinine in standard solutions and real human urine samples.
  • Validation using capillary electrophoresis and Partial Least-Squares (PLS) regression analysis.

Main Results:

  • Both CDS and CSPT demonstrated excellent linearity (r(2) = 0.9967 and 0.9972) within the 160 μmol L(-1) to 1.6 mmol L(-1) range.
  • Detection limits were found to be 89 μmol L(-1) for CDS and 111 μmol L(-1) for CSPT.
  • High repeatability was achieved with intra-day (1.7-2.9%) and inter-day (3.6-6.5%) variations, and mean relative errors below 10% in real urine samples.

Conclusions:

  • The developed CDS and CSPT platforms offer a rapid, cost-effective, and accurate alternative for creatinine quantification in human urine.
  • These methods circumvent the need for expensive apparatus and complex procedures, enhancing accessibility in clinical settings.
  • The validated performance suggests their potential utility in routine clinical analysis for renal and muscular function assessment.