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1.
G Ital Nefrol ; 35(6)2018 Dec.
Article in Italian | MEDLINE | ID: mdl-30550034

ABSTRACT

With these recommendations the Interdisciplinary Urinalysis Group (GIAU) aims to stimulate the following aspects : improvement and standardization of the post analytical approach to physical, chemical and morphological urine examination (ECMU); emphasize the value added to ECMU by selection of clinically significant parameters, indication of analytical methods, of units of measurement, of reference values; improvement of interpretation of dip stick urinalysis with particular regard to the reconsideration of the diagnostic significance of the evaluated parameters together with an increasing awareness of the limits of sensitivity and specificity of this analytical method. Accompanied by the skills to propose and carry out in-depth investigations with analytical methods that are more sensitive and specific;increase the awareness of the importance of professional skills in the field of urinary morphology and their relationships with the clinicians. through the introduction, in the report, of descriptive and interpretative comments depending on the type of request, the complexity of the laboratory, the competence of the pathologist;implement a policy of evaluation of the analytical quality by using, in addition to traditional internal and external controls, a program for the evaluation of morphological competence. The hope is to revalue the enormous potential diagnostic of ECMU, implementing a urinalysis on personalized diagnostic needs that each patient brings with it.


Subject(s)
Urinalysis/standards , Forms and Records Control , Humans , Medical Records/standards , Quality Control , Reproducibility of Results , Specimen Handling , Urinalysis/methods , Urine/chemistry , Urine/cytology
2.
G Ital Nefrol ; 33(6)2016.
Article in Italian | MEDLINE | ID: mdl-28134409

ABSTRACT

With these guidelines the Intersociety Urinalysis Group (GIAU) aims to stimulate the following aspects: Improvement and standardization of the analytical approach to physical, chemical and morphological urine examination (ECMU). Improvement of the chemical analysis of urine with particular regard to the reconsideration of the diagnostic significance of the parameters that are traditionally evaluated in dipstick analysis together with an increasing awareness of the limits of sensitivity and specificity of this analytical method. Increase the awareness of the importance of professional skills in the field of urinary morphology and the relationship with the clinicians. Implement a policy of evaluation of the analytical quality by using, in addition to traditional internal and external controls, a program for the evaluation of morphological competence. Stimulate the diagnostics industry to focus research efforts and development methodology and instrumental catering on the needs of clinical diagnosis. The hope is to revalue the enormous diagnostic potential of 'ECMU, implementing a urinalysis on personalized diagnostic needs for each patient. Emphasize the value added to ECMU by automated analyzers for the study of the morphology of the corpuscular fraction urine. The hope is to revalue the enormous potential diagnostic of 'ECMU, implementing a urinalysis on personalized diagnostic needs that each patient brings with it.


Subject(s)
Urinalysis , Humans , Urinalysis/standards , Urine/chemistry , Urine/cytology , Urine/microbiology , Practice Guidelines as Topic
3.
Clin Chem Lab Med ; 52(8): 1203-9, 2014 Aug.
Article in English | MEDLINE | ID: mdl-24516002

ABSTRACT

BACKGROUND: The detection of faecal occult blood is a fundamental step in making an early diagnosis of colorectal cancer. The aim of the present study was to evaluate the stability of haemoglobin in faeces collected with two sampling devices specific for faecal immunochemical testing (FOB Gold Tube Screen and FOB Gold Tube NG) that contain different preservative buffers (buffer H, BH, and buffer N, BN, respectively). METHODS: Fifteen true positive faecal samples were collected with both devices. A pool from each sample was made. Each pool was portioned and stored at +4°C, +21°C and +32°C for 10 days. One aliquot of each pool stored at each of the respective temperatures was tested at five time intervals between sampling and analysis. The same procedure was followed for three synthetic haemoglobin solutions in both buffers. RESULTS: The percentage of cumulative faecal haemoglobin decrease (HbCD%) was evaluated. No significant difference was found between BH and BN in HbCD% at +4°C (p=0.106); at +21°C and +32°C, HbCD% was lower in BH than in BN samples (p=0.002 and p=0.001, respectively) whereas no difference was found between samples stored in BH at +4°C and +21°C. The synthetic haemoglobin degradation percentage was always ≤ 7.1% for both buffers except for BN at +32°C (about 60%). CONCLUSIONS: Synthetic haemoglobin solutions behave differently from the true faecal samples. At +21°C and +32°C BH preserves the haemoglobin better than BN, independent of the haemoglobin concentration. BH, allowing sample stability at both +4°C and +21°C, is more suitable for screening procedures.


Subject(s)
Colorectal Neoplasms/diagnosis , Feces/chemistry , Early Detection of Cancer , Humans , Mass Screening/methods , Occult Blood
4.
Clin Chim Acta ; 427: 1-5, 2014 Jan 01.
Article in English | MEDLINE | ID: mdl-24075881

ABSTRACT

OBJECTIVE: We performed a multicenter study to calculate the upper reference limits (URL) for urine particle quantification in mid-stream samples by using automated urine analyzers. DESIGN & METHODS: Two laboratories tested 283 subjects using a Sysmex UF-100, two other laboratories tested 313 subjects using Sysmex UF-1000i, whereas two other laboratories tested 267 subjects using Iris IQ®200. RESULTS: The URLs of UF-100 in females and males were 7.8/µL and 6.7/µL for epithelial cells (EC), 11.1/µL and 9.9/µL for red blood cells (RBC), 10.2/µL and 9.7/µL for white blood cells (WBC), and 0.85/µL and 0.87/µL for cylinders (CAST). The URLs of UF-1000i in females and males were 7.6/µL and 7.1/µL for EC, 12.2/µL and 11.1/µL for RBC, 11.9/µL and 11.7/µL for WBC, and 0.88/µL and 0.86/µL for CAST. The URLs of Iris IQ®200 in females and males were 7.8/µL and 6.6/µL for EC, 12.4/µL and 10.1/µL for RBC, 10.9/µL and 9.9/µL for WBC, and 1.1/µL and 1.0/µL for CAST. CONCLUSION: The URLs obtained in this study were comparable to the lowest values previously reported in the literature. Moreover, no gender-related difference was observed, and analyzer-specific upper reference limits were very similar.


Subject(s)
Sex Characteristics , Urinalysis , Adolescent , Adult , Aged , Autoanalysis , Female , Humans , Italy , Male , Middle Aged , Reference Values , Young Adult
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