Inadequate hemolysis of erythrocytes on reagent strips at low pH causes false-negative readings.

Abstract:

:Patients' urines gave an unexpectedly high percentage of false-negative results for erythrocytes on a reagent strip, even when the test field for ascorbic acid indicated that none of this substance was present to inhibit the test reaction. By adding known amounts of erythrocytes to normal urines, we found that this phenomenon was time-dependent and occurred with three different brands of reagent strips in urines having a pH below 6.0. Hemolysis of erythrocytes was totally inhibited below pH 5.1 after 4 h of incubation with 50 X 10(6) erythrocytes per liter. The inhibition is apparently caused by shrinkage of the erythrocytes, rending them insensitive to the hemolytic agents in the different reagent strips tested.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Levin K,Engström I

subject

Has Abstract

pub_date

1984-11-01 00:00:00

pages

1845-7

issue

11

eissn

0009-9147

issn

1530-8561

journal_volume

30

pub_type

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