Muna amfani da kukis don haɓaka ƙwarewar ku.Ta ci gaba da bincika wannan gidan yanar gizon, kun yarda da amfani da kukis.Karin bayani.
Madaidaicin sakamakon gwajin ya dogara da amincin takardar gwajin fitsari.Ba tare da la'akari da alamar ba, rashin kulawa da tube na iya haifar da kuskuren sakamako, wanda zai iya haifar da kuskuren kuskure.kwalban kwas ɗin da ba ta dace ba da aka matse ko kuma da aka sake caja tana fallasa abin da ke ciki ga yanayin ɗanɗano a cikin iska na cikin gida, wanda zai iya yin tasiri ga ingancin kwas ɗin, ya haifar da lalacewa na reagent, kuma a ƙarshe ya haifar da sakamako mara kyau.
Crolla et al.1 sun gudanar da wani binciken da aka yi amfani da igiyoyin gwajin zuwa iska na cikin gida, kuma an kwatanta kayan aiki da reagent tube na masana'antun uku.Ya kamata a rufe kwandon tsiri bisa ga shawarwarin masana'anta bayan amfani, in ba haka ba zai haifar da bayyanar iska a cikin gida.Wannan labarin ya ba da rahoton sakamakon binciken, yana kwatanta MULTISTIX® 10SG gwajin gwajin fitsari da Siemens CLINITEK Status® + analyzer tare da samfurori daga wasu masana'antun guda biyu.
Siemens MULTISTIX® jerin fitsari reagent tube (Hoto 1) suna da sabon bandeji (ID).Lokacin da aka haɗa tare da kewayon Matsayin CLINITEK⒜ na'urar nazarin sunadarai na fitsari da aka nuna a cikin adadi, jerin gwaje-gwajen ingancin atomatik (Auto-Chemistry) 2.
Hoto 2. CLINITEK Matsayi jerin masu nazari suna amfani da algorithm don gano abubuwan da suka lalace da danshi don taimakawa tabbatar da sakamako mai inganci.
Krolla et al.Binciken ya kimanta sakamakon da aka samar ta hanyar haɗin gwajin gwaji da masu nazari daga masana'antun guda uku:
Ga kowane masana'anta, ana shirya nau'ikan nau'ikan reagent guda biyu.An buɗe rukunin farko na kwalabe kuma an fallasa su zuwa iska na cikin gida (22oC zuwa 26oC) da zafi na cikin gida (26% zuwa 56%) fiye da kwanaki 40.Ana yin wannan ne don a kwaikwayi bayyanar da za a iya fallasa tsiri na reagent a lokacin da mai aiki ba ya rufe kwandon tsiri da kyau (tsiri matsa lamba).A cikin rukuni na biyu, an rufe kwalban har sai an gwada samfurin fitsari (babu matsa lamba).
Kimanin samfuran fitsarin majiyyata 200 an gwada su a cikin duka haɗin nau'ikan nau'ikan guda uku.Kurakurai ko rashin isasshen ƙara yayin gwajin zai sa samfurin ya ɗan bambanta.An yi cikakken adadin samfuran samfuran da masana'anta suka gwada a cikin Tebu 1. An yi gwaje-gwajen tsiri na reagent akan abubuwan da aka bayar masu zuwa ta amfani da samfuran haƙuri:
Ana kammala gwajin gwajin fitsari a cikin watanni uku.Ga kowane saitin tube, damuwa da rashin damuwa, ana maimaita samfuran gwaji akan duk tsarin kayan aiki.Ga kowane haɗin tsiri da mai nazari, gudanar da waɗannan samfuran kwafin ci gaba.
Cibiyar kula da marasa lafiya da ke cikin birni ita ce yanayin bincike.Yawancin gwaje-gwajen mataimakan likita da ma'aikatan jinya ne ke yin su, kuma ma'aikatan dakin gwaje-gwaje da aka horar (ASCP) ne ke yin gwaje-gwaje na wucin gadi.
Wannan haɗin gwiwar masu aiki yana maimaita madaidaicin yanayin gwaji a cibiyar jiyya.Kafin tattara bayanai, an horar da duk masu aiki kuma an kimanta iyawar su akan duk masu nazarin uku.
A cikin binciken da Crolla et al., An ƙididdige daidaiton aikin analyte tsakanin ɓangarorin reagent marasa ƙarfi da damuwa ta hanyar duba maimaitawar farko na kowane saiti na gwaji, sannan an kwatanta daidaiton tare da marasa ƙarfi (control) Kwatanta daidaito. tsakanin sakamakon da aka samu - Kwafi 1 da Kwafi 2.
Ɗauren gwajin MULTISTIX 10 SG wanda CLINITEK Status+ Analyzer ya karanta an ƙera shi don mayar da tuta na kuskure maimakon ainihin sakamakon da zaran tsarin ya gano cewa tasirin gwajin na iya yin tasiri ta hanyar wuce gona da iri ga yanayin zafi.
Lokacin gwaji akan Matsayin CLINITEK + Analyzer, fiye da 95% (95% tazarar amincewa: 95.9% zuwa 99.7%) na matsananciyar gwajin MULTISTIX 10 SG suna dawo da tutar kuskure, wanda ke nuna daidai cewa an shafa sassan gwajin kuma saboda haka ba dace don amfani (Table 1).
Tebura 1. Kuskuren yin alama sakamakon raƙuman gwajin da ba a matsawa da matsawa (launi ya lalace), wanda masana'anta suka rarraba
Yarjejeniyar kaso tsakanin kwafi biyu na raƙuman ragi mara ƙarfi daga duk kayan masana'anta guda uku (daidai da saitin ± 1) shine aikin ɓangarorin marasa damuwa (yanayin sarrafawa).Marubutan sun yi amfani da ma'auni na ±1 saboda wannan shine bambancin yarda da aka saba don takardar gwajin fitsari.
Table 2 da Table 3 suna nuna taƙaitaccen sakamakon.Yin amfani da ma'auni ko ma'auni ± 1, babu wani muhimmin bambanci a cikin maimaita daidaito tsakanin nau'in reagent na masana'antun uku a ƙarƙashin wani yanayi na damuwa (p> 0.05).
Dangane da daidaiton maimaitawa na nau'ikan nau'ikan da ba su da damuwa na sauran masana'antun, an lura cewa don maimaitawa biyu na ramukan da ba su da damuwa, akwai misalai guda biyu kawai na daidaiton kashi.Waɗannan misalan an ba da haske.
Don ƙungiyoyin gwaji na Roche da bincike, ƙididdige yarjejeniyar kashi tsakanin maimaitawar farko na mashaya mai matsananciyar damuwa da maimaitawar farko na mashaya mara ƙarfi don kimanta aikin tsiri gwajin damuwa na muhalli.
Tables na 4 da 5 sun taƙaita sakamakon kowane mai nazari.Yawan adadin yarjejeniya don waɗannan masu nazari a ƙarƙashin yanayin damuwa ya bambanta da yawan adadin yarjejeniya don yanayin sarrafawa, kuma an yi masa alama a matsayin "mahimmanci" a cikin waɗannan tebur (p <0.05).
Tun da gwajin nitrate ya dawo da sakamakon binary (mara kyau / tabbatacce), ana ɗaukar su 'yan takara don bincike ta amfani da saitin ± 1.Game da nitrate, idan aka kwatanta da daidaito na 96.5% zuwa 98%, gwajin gwajin damuwa na Ƙungiyar Gwaji na Diagnostic da Roche suna da kawai 11.3% zuwa 14.1 tsakanin sakamakon nitrate da aka samu don maimaita 1 a ƙarƙashin yanayin rashin damuwa da maimaita 1 a ƙarƙashin yanayin damuwa.An lura da yarjejeniyar% tsakanin maimaita yanayin rashin damuwa (control).
Don amsoshi na dijital ko ba na binary ba, gwajin ketone, glucose, urobilinogen, da fararen ƙwayoyin jini da aka yi akan Roche da ɗigon gwajin ganowa suna da mafi girman kaso na bambance-bambance a cikin fitowar madaidaicin toshe tsakanin matsa lamba da ɗigon gwajin da ba a dannewa ba. .
Lokacin da aka ƙaddamar da daidaitattun daidaito zuwa ƙungiyar ± 1, ban da furotin (91.5% daidaito) da fararen jini (79.2% daidaito), bambance-bambancen gwajin gwajin Roche ya ragu sosai, kuma matakan daidaito guda biyu kuma babu matsa lamba (Bambanta). ) Akwai yarjeniyoyi daban-daban.
Dangane da nau'in gwajin gwaji a cikin rukunin gwajin gwajin, adadin daidaiton urobilinogen (11.3%), fararen jini (27.7%), da glucose (57.5%) sun ci gaba da raguwa sosai idan aka kwatanta da yanayin yanayin rashin damuwa.
Dangane da bayanan da aka samu tare da Roche and Diagnostic Test Group reagent tsiri da haɗin nazari, an lura da babban bambanci tsakanin sakamakon da ba a matsawa da matsawa ba saboda fallasa ga zafi da iskan ɗaki.Sabili da haka, bisa ga sakamakon kuskure daga sassan da aka fallasa, rashin ganewar asali da magani na iya faruwa.
Tsarin faɗakarwa ta atomatik a cikin Siemens analyzer yana hana ba da rahoton sakamakon lokacin da aka gano yanayin zafi.A cikin binciken da aka sarrafa, mai nazari na iya hana rahotannin karya kuma ya samar da saƙon kuskure maimakon samar da sakamako.
CLINITEK Status+ analyzer da Siemens MULTISTIX 10 SG gwajin gwajin fitsari haɗe tare da fasaha na Auto-Checks na iya gano ɓangarorin gwaji ta atomatik waɗanda zafi mai yawa ya shafa.
Ma'anar CLINITEK Status+ Analyzer ba wai kawai yana gano ɗigon gwajin MULTISTIX 10 SG waɗanda zafi mai yawa ya shafa ba, amma kuma yana hana rahoton yiwuwar sakamako mara inganci.
Roche and Diagnostic Test Group masu nazari ba su da tsarin gano zafi.Ko da yake ɗigon gwajin ya shafi matsanancin zafi, waɗannan kayan aikin biyu suna ba da rahoton sakamakon samfurin haƙuri.Sakamakon da aka ruwaito na iya zama ba daidai ba, saboda ko da samfurin haƙuri ɗaya, sakamakon binciken zai bambanta tsakanin sassan gwajin da ba a bayyana ba (marasa damuwa) da fallasa (matsi).
A cikin gwaje-gwaje daban-daban na dakin gwaje-gwaje, Crolla da tawagarsa sun lura cewa a mafi yawan lokuta ana cire hular kwalbar fitsari a wani bangare ko gaba daya.Binciken yana jaddada wajibcin ƙungiyoyin gwaji domin a iya aiwatar da shawarwarin masana'anta da ƙarfi don kiyaye kwandon tef ɗin a rufe lokacin da ba a cire tef ɗin don ƙarin bincike ba.
A cikin yanayi inda akwai masu aiki da yawa (wanda ke sa tabbatar da yarda ya zama mai rikitarwa), yana da fa'ida a yi amfani da tsarin don sanar da mai gwajin abin da ya shafa ta yadda ba za a iya yin gwajin ba.
Anyi daga kayan da Lawrence Crolla, Cindy Jiménez, da Pallavi Patel suka kirkira daga Asibitin Al'umma na Arewa maso Yamma a Arlington Heights, Illinois.
An tsara maganin maganin kulawa don samar da gwaje-gwaje na gaggawa, dacewa da sauƙi don amfani.Daga dakin gaggawa zuwa ofishin likita, ana iya yanke shawarar gudanar da asibiti nan da nan, ta haka inganta lafiyar haƙuri, sakamakon asibiti, da kuma gamsuwar haƙuri gabaɗaya.
Manufofin abun ciki da aka tallafa: labarai da abubuwan da ke da alaƙa da News-Medical.net suka buga na iya fitowa daga tushen dangantakar kasuwancinmu, muddin irin wannan abun yana ƙara ƙima ga ainihin ruhin edita na News-Medical.Net, wato ilimi da sanar da gidan yanar gizon Baƙi masu sha'awar binciken likita, kimiyya, na'urorin likita da jiyya.
Siemens Healthineers Point of Care ganewar asali.(2020, Maris 13).Nazarin kwatankwacin masu nazarin fitsari guda uku, waɗanda aka yi amfani da su don tantance yanayin zafi ta atomatik na igiyoyin nazarin fitsari da kayan aiki ya karanta.Labarai-Likita.An dawo da shi ranar 13 ga Yuli, 2021 daga https://www.news-medical.net/whitepaper/20180123/A-Comparative-Study-of-Three-Urinalysis-Analyzers-for-Evaluation-of-Automated-Humidity-Check- don -Kayan-Karanta-Yin fitsari-Strips.aspx.
Siemens Healthineers Point of Care ganewar asali."Binciken kwatankwacin masu nazarin fitsari guda uku da aka yi amfani da su don tantance yanayin yanayin zafi ta atomatik ta hanyar karatun kayan aiki".Labarai-Likita.13 ga Yuli, 2021.
Siemens Healthineers Point of Care ganewar asali."Binciken kwatankwacin masu nazarin fitsari guda uku da aka yi amfani da su don tantance yanayin yanayin zafi ta atomatik ta hanyar karatun kayan aiki".Labarai-Likita.https://www.news-medical.net/whitepaper/20180123/A-Comparative-Study-of-Three-Urinalysis-Analyzers-for-Evaluation-of-Automated-Humidity-Check-for-Instrument-Read-Urinalysis- Tafi .aspx.(An shiga Yuli 13, 2021).
Siemens Healthineers Point of Care ganewar asali.2020. Nazarin kwatancen na masu nazarin fitsari guda uku da aka yi amfani da su don tantance yanayin zafi ta atomatik na tsiri binciken fitsari ta hanyar karatun kayan aiki.Labarai-Medical, an duba Yuli 13, 2021, https://www.news-medical.net/whitepaper/20180123/A-Comparative-Study-of-Three-Urinalysis-Analyzers-for-Evaluation-of-Automated-Humidity- Duba -for-Instrument-Karanta-Urinanalysis-Strips.aspx.
Yi amfani da gwajin CLINITEST HCG akan mai nazarin CLINITEK don cimma aikin asibiti da ma'aunin hankali
A cikin hirar da muka yi a baya-bayan nan, mun tattauna da Dr. Shengjia Zhong game da sabon binciken da ta yi, wanda ya yi bincike kan yadda ake amfani da hanyoyin kula da iyakoki don dakile yaduwar COVID-19.
A cikin wannan hira, News-Medical da Farfesa Emmanuel Stamatakis sun tattauna matsalolin lafiya da suka shafi rashin barci.
An samar da abin rufe fuska wanda zai iya gano COVID-19.News-Medical ya yi magana da masu binciken da ke bayan wannan ra'ayin don ƙarin koyo game da yadda yake aiki.
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Lokacin aikawa: Yuli-14-2021