Guidelines for Preventing “Dilution False Negatives” in In Vitro Laboratory Testing of the Donor Population
作者:
Ellen Heck,
Charles Baxter,
期刊:
Cornea
(OVID Available online 1994)
卷期:
Volume 13,
issue 4
页码: 290-293
ISSN:0277-3740
年代: 1994
出版商: OVID
关键词: Serology;Human immunodeficiency virus;Dilution;Transplant;Crystalloid;Blood
数据来源: OVID
摘要:
In this article we develop a calculation or formula for use in determining the potential dilution effect of fluids administered during patient treatment on serologic testing parameters. The formula uses basic principles of (a) fluid distribution over time from administration; (b) ratios of plasma and extravascular fluid volumes to body weight; and (c) common practices of fluid resuscitation. A dilution threshold of 50% was set using data from enzymelinked immunosorbent assay human immunodeficiency virus antibody determinations performed on in vitro diluted seropositive serum samples. These data respond to issues raised by guidelines from the Centers for Disease Control and the U.S. Food and Drug Administration to achieve recipient safety without unnecessarily restricting the potential donor pool.
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