Wiwanitkit Viroj
Thai diabetic POCT forum, Thailand.
Diabetes Metab Syndr. 2011 Oct-Dec;5(4):214-5. doi: 10.1016/j.dsx.2012.02.007. Epub 2012 Mar 18.
Point of care testing (POCT) is a new concept in laboratory medicine. The POCT tool helps perform the laboratory test at site giving fast result and requires only small amount of sample. It is presently and increasingly used in pediatrics. In pediatric diabetology, the use of POCT for following up of hemoglobin A1C is a new concept. At present, there are several POCT tools for this purpose. In this specific article, the author compares on important aspects (turnaround time and required amount of specimen) of 5 available POCT tools for measurement of hemoglobin A1C level. The test that is the fastest and requires the least amount of blood sample, which means the least harm to the pediatric patient is the most preferable. Here, it can be seen that there is no ideal POCT that has both properties. However, if it is standardized to compare the amount of required blood sample, the special concern in the pediatric patients, the product from multiplication shows that Siemen DCA 2000+ and Siemen DCA Vantage are the two most preferable POCT tools for hemoglobin A1C determination in pediatric diabetes mellitus management.
即时检验(POCT)是检验医学中的一个新概念。POCT工具有助于在现场进行实验室检测,能快速给出结果,且仅需少量样本。目前它在儿科领域的应用越来越广泛。在儿童糖尿病学中,使用POCT来跟踪糖化血红蛋白是一个新概念。目前,有几种用于此目的的POCT工具。在这篇特定的文章中,作者比较了5种可用的用于测量糖化血红蛋白水平的POCT工具在重要方面(周转时间和所需标本量)的情况。速度最快且所需血样最少的检测,即对儿科患者伤害最小的检测是最可取的。在此可以看出,没有一种理想的POCT能同时具备这两种特性。然而,如果对所需血样量进行标准化比较(这是儿科患者特别关注的问题),乘积结果表明,在儿童糖尿病管理中,西门子DCA 2000+和西门子DCA Vantage是用于测定糖化血红蛋白的两种最可取之POCT工具。