Blood Gases, Electrolytes and Metabolites Point-of-Care Testing at La Paz University Hospital

2008 ◽  
Vol 7 (3) ◽  
pp. 146
Author(s):  
A. Buño ◽  
P. Oliver ◽  
P. Fernández Calle ◽  
M. J. Alcaide ◽  
R. Gómez Rioja ◽  
...  
Keyword(s):  
Point Of Care ◽  
Blood Gases ◽  
University Hospital ◽  
Point Of Care Testing ◽  
La Paz

Blood Gases, Electrolytes, and Metabolites Point-of-Care Testing at La Paz University Hospital

2009 ◽  
Vol 8 (3) ◽  
pp. 135-137 ◽  
Author(s):  
Antonio Buño Soto ◽  
Paloma Oliver ◽  
Pilar Fernandez-Calle ◽  
Maria Jose Alcaide ◽  
Ruben Gomez-Rioja ◽  
...  
Keyword(s):  
Point Of Care ◽  
Blood Gases ◽  
University Hospital ◽  
Point Of Care Testing ◽  
La Paz

scholarly journals Need for Intrapartum Antibiotic Prophylaxis in Women with Prior History of Group B Streptococcus Carriage

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Point Of Care ◽  
Neonatal Infection ◽  
University Hospital ◽  
Prior History ◽  
Point Of Care Testing ◽  
Benzyl Penicillin ◽  
Intrapartum Antibiotic Prophylaxis ◽  
History Of ◽  
Intrapartum Antibiotic

The incidence of early onset neonatal GBS(EOGBS) disease in the UK and Ireland is 0.57/1000 births. Intrapartum antibiotic prophylaxis (IAP) reduces the risk. Previous colonisation is associated with 50% carriage in the current pregnancy. In these women, RCOG recommends IAP with a history of neonatal infection, otherwise offering the option of screening at 35-37 weeks. In Ireland, there is no national consensus on IAP in prior GBS colonisation. Currently at University Hospital Waterford (UHW), all women with prior GBS colonisation receive IAP. Studies examining the use of point-of-care testing have shown reduction in the use of IAP and EOGBS rates. We aimed to examine the screening and IAP administration in maternal prior GBS colonisation and the incidence of GBS in this cohort in UHW. Data was collected retrospectively from laboratory, medical records and electronic patient manager systems. Women who received IAP between 1stJuly 2020 and 31stDecember 2020 were identified. Women who received IAP for current and prior GBS colonisation were included. Women who received IAP for preterm labour, preterm prelabour rupture of membranes and pyrexia in labour were excluded. Ninety-two women with current or prior GBS colonisation received IAP, of which only 15(16.30%) were current and 77(83.69%) were prior GBS colonisation. In women with prior GBS colonisation, 49(63.63%) were screened, 3/49(6.12%) were positive, 28 were not screened. Seventy-eight (84.78%) received benzyl-penicillin. Six (6.52%) received clindamycin. Twenty-two (23.91%) babies were admitted to the Neonatal Unit, however, only one cultured positive for gram-positive cocci. The incidence of EOGBS in this cohort is low. A risk-based approach or point-of-care testing should be considered to reduce unnecessary IAP administration.

scholarly journals SARS-CoV-2 Antibodies and utility of point of care testing in Health Care Workers from a Spanish University Hospital in Madrid

2021 ◽  
Author(s):  
M. Rodríguez-Domínguez ◽  
B. Romero-Hernández ◽  
D. Marcos-Mencía ◽  
M. Fernandez-Escribano ◽  
M. Ferré-Masferrer ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Point Of Care ◽  
University Hospital ◽  
Point Of Care Testing ◽  
Care Workers

Point-of-Care Blood Gases, Electrolytes, Chemistries, Hemoglobin, and Hematocrit Measurement in Venous Samples from Pet Rabbits

2014 ◽  
Vol 50 (5) ◽  
pp. 305-314 ◽  
Author(s):  
Paolo Selleri ◽  
Nicola Di Girolamo
Keyword(s):  
Point Of Care ◽  
Blood Gases ◽  
Rapid Analysis ◽  
Sufficient Evidence ◽  
Point Of Care Testing ◽  
Limits Of Agreement ◽  
Blood Samples ◽  
Constant Bias ◽  
Partial Pressure Of Co2 ◽  
Attractive Option

Point-of-care testing is an attractive option in rabbit medicine, because it permits rapid analysis of a panel of electrolytes, chemistries, blood gases, hemoglobin, and hematocrit, requiring only 65 μL of blood. The purpose of this study was to evaluate the performance of a portable clinical analyzer for measurement of pH, partial pressure of CO2, Na, chloride, potassium, blood urea nitrogen, glucose, hematocrit, and hemoglobin in healthy and diseased rabbits. Blood samples obtained from 30 pet rabbits were analyzed immediately after collection by the portable clinical analyzer (PCA) and immediately thereafter (time <20 sec) by a reference analyzer. Bland-Altman plots and Passing-Bablok regression analysis were used to compare the results. Limits of agreement were wide for all the variables studied, with the exception of pH. Most variables presented significant proportional and/or constant bias. The current study provides sufficient evidence that the PCA presents reliability for pH, although its low agreement with a reference analyzer for the other variables does not support their interchangeability. Limits of agreement provided for each variable allow researchers to evaluate if the PCA is reliable enough for their scope. To the authors’ knowledge, the present is the first report evaluating a PCA in the rabbit.

Point-of-Care Bilirubin Testing in the Neonatal Service at La Paz University Hospital

2008 ◽  
Vol 7 (3) ◽  
pp. 186
Author(s):  
P. Oliver ◽  
A. Buño ◽  
J. Beltrán ◽  
P. Fernández Calle ◽  
M. J. Alcaide ◽  
...  
Keyword(s):  
Point Of Care ◽  
University Hospital ◽  
La Paz

Performance of Gem Premier blood gas/electrolyte analyzer evaluated

1993 ◽  
Vol 39 (9) ◽  
pp. 1890-1893 ◽  
Author(s):  
E Jacobs ◽  
M Nowakowski ◽  
N Colman
Keyword(s):  
Electrochemical Sensors ◽  
Point Of Care ◽  
Blood Gases ◽  
Ionized Calcium ◽  
Blood Gas ◽  
Point Of Care Testing ◽  
Sodium Potassium ◽  
Plasma Electrolyte ◽  
Waste Container ◽  
Blood Gas Analyzer

Abstract We evaluated a new analyzer designed for point-of-care testing of blood gases, sodium, potassium, ionized calcium, and hematocrit. The Gem Premier (Mallinckrodt) system has two components: the analyzer and a disposable cartridge. Analysis takes place in the cartridge, which contains the electrochemical sensors, the calibrants, the reagents, the sampling stylus, and the waste container. The system was evaluated for imprecision and accuracy. With aqueous control materials, total imprecision (CV) was: pH, 0.10-0.18%; PCO2, 3.16-5.78%; PO2, 2.92-4.85%; sodium, 0.82-1.44%; potassium, 1.35-1.48%; ionized calcium, 0.75-1.45%; and hematocrit, 1.13-1.83%. Accuracy of the system was assessed by split-sample comparison with the Radiometer ABL 330 blood gas analyzer for pH and blood gases, the Nova Stat Profile 5 for whole-blood electrolyte and hematocrit analysis, and the IL Phoenix for plasma electrolyte analysis. After outlier correction, regression statistics were excellent for all analytes except sodium, which demonstrated Sy[x values between 1.80 and 2.30 mmol/L and 0.85 < or = r < 0.90.

scholarly journals Development of a Web-based Contact Tracing and Point-of-Care-Testing Workflow for SARS-CoV-2 at a German University Hospital

2021 ◽  
Author(s):  
Julian Zirbes ◽  
Christian M Sterr ◽  
Marcus Steller ◽  
Laura I Dapper ◽  
Claudia I Nonnenmacher-Winter ◽  
...  
Keyword(s):  
Infection Control ◽  
Point Of Care ◽  
Health Sector ◽  
Hospital Setting ◽  
Physical Distance ◽  
University Hospital ◽  
Contact Tracing ◽  
Point Of Care Testing ◽  
Web Based ◽  
Symptomatic Disease

Abstract Introduction: In late 2019, a novel coronavirus was detected in China. Supported by its respiratory transmissibility, even by people infected without symptomatic disease, this coronavirus soon began to rapidly spread worldwide. Background: Many countries have implemented different infection control and containment strategies due to ongoing community transmission. In this context, contact tracing as well as adequate testing and consequent quarantining of high-risk contacts play leading roles in containing the virus by interrupting infection chains. This approach is especially important in the hospital setting where contacts often cannot be avoided and physical distance is usually not possible. Furthermore, health care workers (HCWs) usually have contact with a variety of vulnerable people, making it essential to identify infections among hospital employees as soon as possible to interrupt the rapid spread of SARS-CoV-2 in the facility. Several electronic tools for contact tracing, such as specific software or mobile phone apps, are available for the public health sector. In contrast, contact tracing in hospitals often has to be carried out without helpful electronic tools, and an enormous amount of human resources is typically required. Aim: For rapid contact tracing and effective infection control and management measures for HCWs in hospitals, adapted technical solutions are needed.Methods: In this study, we report the development of our containment strategy to a web-based contact tracing and rapid point-of-care-testing workflow.Results/Conclusion: Our workflow yielded efficient control of the rapidly evolving situation during the SARS-CoV-2 pandemic from May 2020 until January 2021 at a German University Hospital.

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