EDTA污染对和铁的试验依赖性影响
Davor Brinc1, Chien-Yi Lu2, Osmond Rodrigues3
1Division of Clinical Biochemistry, Laboratory Medicine Program, University Health Network, Toronto, ON, Canada; Department of Laboratory Medicine & Pathobiology, University of Toronto, Toronto, ON, Canada.
概括
乙二胺酸 (EDTA) 污染可能会影响实验室结果. 和铁的测量不是EDTA污染的可靠指标,因为依赖于方法的变化.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 分析化学 分析化学
背景情况:
- 血液样本中的乙烯二胺酸 (EDTA) 污染可以显著改变实验室测试结果.
- 虽然EDTA对和酸酶的影响是已知的,但对 (Mg2+) 和铁 (Fe2+) 的影响却不太清楚.
研究的目的:
- 通过不同的分析方法,确定EDTA度导致Mg2+和Fe2+下降50% (EC50) 并超过允许的性能极限 (APL).
- 为了评估Mg2+和Fe2+对EDTA污染的方法依赖性敏感性.
主要方法:
- 评估EDTA度 (EC50和APL) 为Ca2+,ALP,Mg2+和Fe2+使用罗氏科巴斯c 303和Abbott Alinityc平台.
- 通过使用不同的方法 (例如,西利蓝,铁烯,铁) 进行Mg2+和Fe2+测量的比较,以评估EDTA的影响.
主要成果:
- 通过西利蓝测量的Mg2+显示了对EDTA的敏感性 (EC50:0.78-1.18 mmol/L;APL:0.16-0.34 mmol/L).
- 铁素测量的Fe2+受到EDTA的影响 (EC50:5.6-8.86 mmol/L;APL:4.68-5.46 mmol/L).
- Mg2+ (异酸脱酶法) 和Fe2+ (铁烯法) 试验表明对EDTA的抗性.
结论:
- 低磁热血和低血并不是EDTA污染的明确指标.
- 测量Mg2+和Fe2+对EDTA的敏感性因使用的分析方法而异.
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