Riond Barbara, Weissenbacher Stefan, Hofmann-Lehmann Regina, Lutz Hans
Clinical Laboratory, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Vet Clin Pathol. 2011 Dec;40(4):484-495. doi: 10.1111/j.1939-165X.2011.00372.x. Epub 2011 Nov 3.
The Sysmex pocH-100iV Diff is an impedance hematology analyzer recently introduced for point-of-care use in veterinary practices in Europe.
The purpose of this study was to validate the pocH-100iV Diff for analysis of blood samples from dogs, cats, horses, and cattle.
Fresh EDTA-blood samples from healthy and ill dogs (115), cats (94), horses (91), and cattle (78) were analyzed on the pocH-100iV Diff and the Cell-Dyn 3500. Results of the automated WBC differential counts were compared with the manual differential counts for 77 dogs, 65 cats, 40 horses, and 46 cattle. HCT were compared with PCVs obtained by microhematocrit centrifugation. Furthermore, precision, linearity, carry-over, cell aging, and clinical relevance of the pocH-100iV Diff results were assessed.
Most of the CBC results obtained by the pocH-100iV Diff correlated well with those of the Cell-Dyn 3500. Slightly low correlation was observed for canine MCV and hemoglobin concentration. Lymphocytes correlated well in horses and cattle, but less well in cats and dogs. The mixed cell population termed "OTHRS" (all granulocytes and monocytes for horses and cattle; neutrophils, monocytes, and basophils for cats and dogs) correlated well in all tested species. The instrument overestimated feline and canine eosinophils. In cats, platelet counts showed a strong negative bias.
The overall performance of the pocH-100iV Diff was excellent with the noted limitations. The automated differential count can be used as screening tool in conjunction with evaluation of a blood smear.
Sysmex pocH-100iV Diff是一款最近在欧洲兽医诊所引入的用于即时检测的阻抗血液分析仪。
本研究旨在验证pocH-100iV Diff对犬、猫、马和牛血液样本分析的有效性。
对来自健康和患病犬(115只)、猫(94只)、马(91匹)和牛(78头)的新鲜乙二胺四乙酸抗凝血样本,在pocH-100iV Diff和Cell-Dyn 3500上进行分析。将自动白细胞分类计数结果与77只犬、65只猫、40匹马和46头牛的手工分类计数结果进行比较。将血细胞比容与微量血细胞比容离心法获得的红细胞压积进行比较。此外,还评估了pocH-100iV Diff结果的精密度、线性、携带污染、细胞老化及临床相关性。
pocH-100iV Diff获得的大多数全血细胞计数结果与Cell-Dyn 3500的结果相关性良好。犬平均红细胞体积和血红蛋白浓度的相关性略低。淋巴细胞在马和牛中相关性良好,但在猫和犬中相关性较差。称为“OTHRS”的混合细胞群(马和牛为所有粒细胞和单核细胞;猫和犬为中性粒细胞、单核细胞和嗜碱性粒细胞)在所有受试物种中相关性良好。该仪器高估了猫和犬的嗜酸性粒细胞。在猫中,血小板计数显示出强烈的负偏差。
pocH-100iV Diff的总体性能良好,但存在上述局限性。自动分类计数可作为筛查工具,并结合血涂片评估使用。