Abstract:
BACKGROUND:Several cases of biotin interference with laboratory testing have been reported in the literature. However, there are no publications discussing the extent of biotin use or plasma concentrations observed among the patient population. The objective of this study was to determine the prevalence of biotin consumption using two distinct methods: surveying the outpatient population using a questionnaire and quantifying biotin in plasma samples collected from patients presenting to the Emergency Department (ED). METHODS:Survey questionnaires (n = 4000) were distributed to Mayo Clinic outpatients over one week (July 10-14, 2017). Biotin was quantified in residual waste plasma samples collected for physician-ordered electrolyte panels from patients presenting to the ED (March 6-12, 2017 and March 26-April 4, 2017, n = 1442 unique patient samples). RESULTS:1944 patients (972 female, 963 male, 9 no answer) with a median (interquartile range) age of 62 (49-72) years returned completed questionnaires (48.6%). From the completed surveys, 7.7% (95% CI, 6.6-8.9%) indicated biotin use. Quantitation of biotin in plasma samples from ED patients (n = 1442) revealed that 7.4% (95% CI, 6.2-8.9%) had concentrations at or above the lowest known threshold (10 ng/mL) for biotin interference in Roche Diagnostics immunoassay tests. CONCLUSIONS:According to our survey results, reported use of biotin was common. The range of biotin concentrations in ED patient samples highlights the magnitude of the biotin interference problem and identifies a population at risk for potential harm. These findings should guide laboratorians and clinicians in developing effective strategies to mitigate safety risks and in assessing biotin usage trends within their own patient populations.
journal_name
Clin Biochemjournal_title
Clinical biochemistryauthors
Katzman BM,Lueke AJ,Donato LJ,Jaffe AS,Baumann NAdoi
10.1016/j.clinbiochem.2018.07.004subject
Has Abstractpub_date
2018-09-01 00:00:00pages
11-16eissn
0009-9120issn
1873-2933pii
S0009-9120(18)30315-1journal_volume
60pub_type
杂志文章abstract::Fluoride is a potent therapeutic agent that increases spinal bone density in osteoporotic subjects. Based on work with animal cells previously, we proposed fluoride acts by inhibiting phosphotyrosyl protein phosphatase (EC 3.1.3.48) activity in bone cells. The presence of fluoride sensitive acid phosphatase (EC 3.1.3....
journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/0009-9120(92)80045-i
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVES:To report the clinical and laboratory characteristics of urea cycle disorder (UCD) patients at a tertiary care center in a developing country. DESIGN AND METHODS:Retrospective study of clinical and laboratory data of UCD patients. RESULTS:Thirty-seven UCD patients were studied, 31 symptomatic (high risk) p...
journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2009.12.004
更新日期:2010-03-01 00:00:00
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journal_title:Clinical biochemistry
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doi:10.1016/s0009-9120(89)80073-6
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(98)00070-8
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abstract:UNLABELLED:Chronic liver diseases may cause inflammation and progressive scarring, over time leading to irreversible hepatic damage (cirrhosis). As a result, the need to assess and closely monitor individuals for risk factors of components of matrix deposition and degradation, as well as the severity of the fibrosis us...
journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
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更新日期:2016-02-01 00:00:00
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journal_title:Clinical biochemistry
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doi:10.1016/j.clinbiochem.2015.05.004
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/0009-9120(95)02010-1
更新日期:1996-02-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2014.01.030
更新日期:2014-05-01 00:00:00
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journal_title:Clinical biochemistry
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journal_title:Clinical biochemistry
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doi:10.1016/s0009-9120(02)00380-6
更新日期:2002-10-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/s0009-9120(99)00021-1
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2009.03.017
更新日期:2009-07-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
doi:10.1016/j.clinbiochem.2016.09.017
更新日期:2016-12-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
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更新日期:2009-11-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2010.06.013
更新日期:2010-09-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2004.01.005
更新日期:2004-05-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2007.08.003
更新日期:2007-11-01 00:00:00
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journal_title:Clinical biochemistry
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journal_title:Clinical biochemistry
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-07-01 00:00:00
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更新日期:2003-06-01 00:00:00
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journal_title:Clinical biochemistry
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doi:10.1016/s0009-9120(87)80118-2
更新日期:1987-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0009-9120(81)91245-5
更新日期:1981-08-01 00:00:00
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journal_title:Clinical biochemistry
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更新日期:2012-12-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章,评审
doi:10.1016/j.clinbiochem.2020.11.008
更新日期:2021-02-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2012.03.013
更新日期:2012-06-01 00:00:00
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journal_title:Clinical biochemistry
pub_type: 杂志文章
doi:10.1016/j.clinbiochem.2006.10.004
更新日期:2007-01-01 00:00:00