Vaishya R, Arora Sarika, Singh B, Mallika V
Department of Biochemistry, G. B. Pant Hospital, New Delhi, 110002 India.
Indian J Clin Biochem. 2010 Jan;25(1):64-6. doi: 10.1007/s12291-010-0013-2. Epub 2010 Feb 10.
The negative interference of bilirubin on serum creatinine determined by the kinetic alkaline picrate (Jaffe) reaction is the unresolved problem. Though high performance liquid chromatography and gas chromatography with mass spectroscopy have been proposed to be gold standards for creatinine estimation but they are not readily available in most of the clinical chemistry laboratories due to economic and technical constraints. Most of the present day analyzers use Jaffe's kinetic method without deproteinization. Though enzymatic methods are now routinely used as most accurate method but they are not acceptable due to cost constraints. Hence this study was planned to find out a possible solution to the problem of bilirubin interference by a minor modification in the commonly used Jaffe method so that it is amenable for use on the currently used analyzers.
胆红素对采用动力学碱性苦味酸盐(Jaffe)反应测定血清肌酐的负干扰是一个尚未解决的问题。尽管高效液相色谱法和气相色谱 - 质谱联用分析法已被提议作为肌酐测定的金标准,但由于经济和技术限制,大多数临床化学实验室无法轻易获得这些方法。目前大多数分析仪使用未经脱蛋白处理的Jaffe动力学方法。虽然酶法现在通常被用作最准确的方法,但由于成本限制而不被接受。因此,本研究旨在通过对常用的Jaffe方法进行微小修改来找到解决胆红素干扰问题的可能方案,以便其适用于当前使用的分析仪。