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一种专为血糖辅助监测和即时检测设计的新型血糖仪的性能。

Performance of a new meter designed for assisted monitoring of blood glucose and point-of-care testing.

作者信息

Macrury Sandra, Srinivasan Aparna, Mahoney John J

机构信息

Raigmore Hospital, Inverness, United Kingdom.

出版信息

J Diabetes Sci Technol. 2013 Mar 1;7(2):389-98. doi: 10.1177/193229681300700215.

Abstract

BACKGROUND

Blood glucose (BG) meters used for assisted monitoring of blood glucose (AMBG) require different attributes compared with meters designed for home use. These include safety considerations (i.e., minimized risk of blood-borne pathogen transmission), capability for testing multiple blood sample types, and enhanced performance specifications. The OneTouch® Verio™Pro+ BG meter is designed to incorporate all of these attributes.

METHODS

Meter accuracy was assessed in clinical studies with arterial, venous, and capillary blood samples with a hematocrit range of 22.9-59.8%. The effect of interferents, including anticoagulants, on accuracy was evaluated. The meter disinfection protocol was validated, and instructions for use and user acceptance of the system were assessed.

RESULTS

A total of 97% (549/566) of BG measures from all blood sample types and 95.5% (191/200) of arterial blood samples were within ±12 mg/dl or 12.5% of reference measurements. The system was unaffected by 4 anticoagulants and 57 of 59 endogenous and exogenous compounds; it was affected by 2 compounds: pralidoxime iodide and xylose. Bleach wipes were sufficient to disinfect the meter. Users felt that the meter's quality control (QC) prompts would help them to comply with regulatory requirements.

CONCLUSION

The meter provided accurate measurements of different blood samples over a wide hematocrit range and was not affected by 57 physiologic and therapeutic compounds. The QC prompts and specific infection-mitigating design further aid to make this meter system practical for AMBG in care facilities.

摘要

背景

用于血糖辅助监测(AMBG)的血糖仪与家用血糖仪相比需要具备不同的特性。这些特性包括安全考量(即尽量降低血源性病原体传播风险)、能够检测多种血液样本类型以及更高的性能规格。OneTouch® Verio™Pro+血糖仪旨在融合所有这些特性。

方法

在临床研究中,使用血细胞比容范围为22.9 - 59.8%的动脉血、静脉血和毛细血管血样本评估血糖仪的准确性。评估了包括抗凝剂在内的干扰物对准确性的影响。验证了血糖仪的消毒方案,并评估了该系统的使用说明和用户接受度。

结果

所有血液样本类型的血糖测量值中有97%(549/566)以及动脉血样本中有95.5%(191/200)在参考测量值的±12 mg/dl或12.5%范围内。该系统不受4种抗凝剂以及59种内源性和外源性化合物中57种的影响;它受2种化合物影响:碘化解磷定和木糖。漂白湿巾足以对血糖仪进行消毒。用户认为血糖仪的质量控制(QC)提示有助于他们符合监管要求。

结论

该血糖仪在较宽的血细胞比容范围内能够对不同血液样本进行准确测量,并且不受57种生理和治疗性化合物的影响。质量控制提示和特定的感染缓解设计进一步有助于使该血糖仪系统适用于医疗机构中的血糖辅助监测。

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