Interference in clinical chemistry assays by the hemoglobin-based oxygen carrier, Hemospan®

被引:10
作者
Cameron, Scott J. [1 ]
Gerhardt, Gregory [1 ]
Engelstad, Michael [1 ]
Young, Mark A. [2 ]
Norris, Edward J. [1 ]
Sokoll, Lori J. [1 ]
机构
[1] Johns Hopkins Med Inst, Dept Pathol, Div Clin Chem, Baltimore, MD 21287 USA
[2] Sangart Inc, San Diego, CA 92121 USA
关键词
Hemospan; Hemoglobin based oxygen carriers (HBOC); Transfusion; Interference; Blood; Chemistry; BLOOD SUBSTITUTE; HBOC-201; MP4;
D O I
10.1016/j.clinbiochem.2008.10.023
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Objective: To evaluate interference by the hemoglobin-based oxygen carrier Hemospan (R) on clinical laboratory assays. Design and methods: Interfering Hemospan concentrations were determined for general chemistry and cardiac marker analytes in pooled scrum and the corresponding hemolysis index was calculated. Results: Hemospan did not interfere with 20 of 35 analyzes. Hemospan produced a negative interference in serum creatinine, amylase, alkaline phosphatase, uric acid, and GGT assays and a positive interference in serum phosphate, LDH, iron, triglycerides, total protein, AST, cholesterol, magnesium, and albumin assays, and appeared to positively bias the serum cardiac troponin I (cTnI) assay only when cTnI is present in the sample. Conclusions: We present a report of assays affected by Hemospan and the threshold concentrations for interference. This study highlights the importance of interference studies in understanding the effects of hemoglobin-based oxygen carriers on results reported by the clinical laboratory. (C) 2008 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:221 / 224
页数:4
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