Rapid Point-of-Care Assessment of Paracetamol Intoxication via an Integrated Electrochemical-Colorimetric Method
Anne A Macedo1, Dilton M Pimentel2, Karla A O Souza3,4
1Departaments of Chemistry and Pharmacy, Universidade Federal Dos Vales Do Jequitinhonha e Mucuri (UFVJM), 39100000 Diamantina, Minas Gerais, Brazil.
ACS Omega
|March 16, 2026
Summary
This study presents a novel point-of-care sensor for detecting paracetamol (PAR) in human serum. The integrated colorimetric and electrochemical method offers rapid, selective, and reliable quantification for diagnosing paracetamol intoxication.
Area of Science:
- Analytical Chemistry
- Clinical Diagnostics
- Biosensors
Background:
- Paracetamol (PAR) overdose is a common clinical emergency requiring rapid quantification in serum.
- Existing portable methods for PAR detection often lack comprehensive interference studies or fail to cover the full toxic concentration range.
- Accurate and timely assessment of PAR levels is crucial for effective clinical management and reducing mortality.
Purpose of the Study:
- To develop and validate an integrated point-of-care sensing approach for the detection and quantification of paracetamol in human serum.
- To address limitations of previous methods by incorporating a robust interference study and covering therapeutic and toxic concentration ranges.
- To provide a reliable and rapid diagnostic tool for clinical settings to aid in the management of paracetamol intoxication.
Main Methods:
- A novel sensing approach combining colorimetric reagents (CR) with screen-printed graphite electrodes (SPE-Gr).
- Dual confirmation analysis: initial color change for rapid intoxication indication, followed by square-wave adsorptive stripping voltammetry for precise quantification.
- Testing with real human serum samples, including a comprehensive interference study to assess selectivity and reliability.
Main Results:
- Achieved a wide linear range for PAR determination (4.5 to 1000 mg L-1) with a low limit of detection (1.2 mg L-1).
- Demonstrated high reproducibility with low relative standard deviations (RSDs < 2.0%) across multiple disposable SPE-Gr.
- Validated the method's selectivity and reliability in real human serum samples, confirming its suitability for clinical application.
Conclusions:
- The proposed combined electrochemical-colorimetric method is a suitable point-of-care sensor for paracetamol determination.
- This sensor enables prompt and straightforward diagnosis of paracetamol intoxication, potentially reducing mortality rates.
- The integrated approach offers a practical solution for rapid clinical analysis of paracetamol in biological samples.
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