Comparison of capillary and venous blood for malaria detection using two PCR based assays in febrile patients in Sierra Leone.

Abstract Background Malaria parasites infect over 200 million people and cause more than 400,000 deaths each year. Rapid and sensitive diagnostics are critical tools for clinical case management and public health control efforts. Both capillary and venous blood are currently used for malaria detection and while diagnostic technologies may not be equally sensitive with both materials the published data on this subject are scarce are not conclusive. Methods Paired samples of venous and capillary blood from 103 febrile individuals in Bo, Sierra Leone, were obtained between January and May 2019 and tested for the presence of Plasmodium parasites using two multiplexed PCR assays: the FilmArray-based Global Fever Panel (GFP) and the TaqMan-based Malaria Multiplex Sample Ready (MMSR) assay. Results We observed no significant differences in Plasmodium parasite detection between capillary and venous blood when using the MMSR assay. In GFP assays, however, markers for Plasmodium spp. and P. falciparum were detected at significantly higher numbers of venous samples (p<0.002 and p<0.05, respectively). The GFP assay was more sensitive than MMSR for Plasmodium spp. in both types of samples and overall more sensitive (taking all detected malaria markers into account) in venous samples only. Conclusions Malaria detection sensitivity may be higher for venous blood compared to capillary blood in case of certain targets when using PCR-based detection methods. The overall sensitivity of GFP assay was generally higher than MMSR but depended on the target and clinical material used.

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Comparison of capillary and venous blood for malaria detection using two PCR based assays in febrile patients in Sierra Leone.

10.21203/rs.2.22092/v2 ◽

2020 ◽

Author(s):

Tomasz Leski ◽

Chris Rowe Taitt ◽

Umaru Bangura ◽

Joseph Lahai ◽

Joseph M. Lamin ◽

...

Keyword(s):

Sierra Leone ◽

Venous Blood ◽

Capillary Blood ◽

Clinical Samples ◽

Published Data ◽

Health Control ◽

Multiplexed Pcr ◽

Parasite Detection ◽

Diagnostic Technologies ◽

Clinical Case Management

Abstract Background. Malaria parasites infect over 200 million people and cause more than 400,000 deaths each year. Rapid and sensitive diagnostics are critical tools for clinical case management and public health control efforts. Both capillary and venous blood are currently used for malaria detection and while diagnostic technologies may not be equally sensitive with both materials, the published data on this subject are scarce and not conclusive.Methods. Paired clinical samples of venous and capillary blood from 141 febrile individuals in Bo, Sierra Leone, were obtained between January and May 2019 and tested for the presence of Plasmodium parasites using two multiplexed PCR assays: the FilmArray-based Global Fever Panel (GFP) and the TaqMan-based Malaria Multiplex Sample Ready (MMSR) assay.Results. We observed no significant differences in Plasmodium parasite detection between capillary and venous blood for both assays. The GFP assay was more sensitive than MMSR for all markers that could be compared (Plasmodium spp. and P. falciparum) in both venous and capillary blood.Conclusions. No difference was found in malaria detection between venous and capillary blood using two different PCR-based detection assays. This data gives support for use of capillary blood, a material which can be obtained easier by less invasive methods, for PCR-based malaria diagnostics, independent of the platform.

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Comparison of capillary and venous blood for malaria detection using two PCR-based assays in febrile patients in Sierra Leone

Malaria Journal ◽

10.1186/s12936-021-03644-y ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Tomasz A. Leski ◽

Chris Rowe Taitt ◽

Umaru Bangura ◽

Joseph Lahai ◽

Joseph M. Lamin ◽

...

Keyword(s):

Sierra Leone ◽

Venous Blood ◽

Capillary Blood ◽

Clinical Samples ◽

Published Data ◽

Health Control ◽

Multiplexed Pcr ◽

Parasite Detection ◽

Diagnostic Technologies ◽

Clinical Case Management

Abstract Background Rapid and sensitive diagnostics are critical tools for clinical case management and public health control efforts. Both capillary and venous blood are currently used for malaria detection and while diagnostic technologies may not be equally sensitive with both materials, the published data on this subject are scarce and not conclusive. Methods Paired clinical samples of venous and capillary blood from 141 febrile individuals in Bo, Sierra Leone, were obtained between January and May 2019 and tested for the presence of Plasmodium parasites using two multiplexed PCR assays: the FilmArray-based Global Fever Panel (GFP) and the TaqMan-based Malaria Multiplex Sample Ready (MMSR) assay. Results No significant differences in Plasmodium parasite detection between capillary and venous blood for both assays were observed. The GFP assay was more sensitive than MMSR for all markers that could be compared (Plasmodium spp. and Plasmodium falciparum) in both venous and capillary blood. Conclusions No difference was found in malaria detection between venous and capillary blood using two different PCR-based detection assays. This data gives support for use of capillary blood, a material which can be obtained easier by less invasive methods, for PCR-based malaria diagnostics, independent of the platform.

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Comparison of capillary and venous blood for malaria detection using two PCR based assays in febrile patients in Sierra Leone.

10.21203/rs.2.22092/v3 ◽

2021 ◽

Author(s):

Tomasz Leski ◽

Chris Rowe Taitt ◽

Umaru Bangura ◽

Joseph Lahai ◽

Joseph M. Lamin ◽

...

Keyword(s):

Sierra Leone ◽

Venous Blood ◽

Capillary Blood ◽

Clinical Samples ◽

Published Data ◽

Health Control ◽

Multiplexed Pcr ◽

Parasite Detection ◽

Diagnostic Technologies ◽

Clinical Case Management

Abstract Background. Rapid and sensitive diagnostics are critical tools for clinical case management and public health control efforts. Both capillary and venous blood are currently used for malaria detection and while diagnostic technologies may not be equally sensitive with both materials, the published data on this subject are scarce and not conclusive.Methods. Paired clinical samples of venous and capillary blood from 141 febrile individuals in Bo, Sierra Leone, were obtained between January and May 2019 and tested for the presence of Plasmodium parasites using two multiplexed PCR assays: the FilmArray-based Global Fever Panel (GFP) and the TaqMan-based Malaria Multiplex Sample Ready (MMSR) assay.Results. We observed no significant differences in Plasmodium parasite detection between capillary and venous blood for both assays. The GFP assay was more sensitive than MMSR for all markers that could be compared (Plasmodium spp. and P. falciparum) in both venous and capillary blood.Conclusions. No difference was found in malaria detection between venous and capillary blood using two different PCR-based detection assays. This data gives support for use of capillary blood, a material which can be obtained easier by less invasive methods, for PCR-based malaria diagnostics, independent of the platform.

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Preanalytical Challenges During Capillary Fingerstick Sampling Preclude Its Widespread Use in Adult Hospitalized Patients

American Journal of Clinical Pathology ◽

10.1093/ajcp/aqaa138 ◽

2020 ◽

Author(s):

Christopher A Jankowski ◽

Anthony M Casapao ◽

Sandra Siller ◽

Carmen Isache ◽

Kelia V Cani ◽

...

Keyword(s):

Health Care Providers ◽

Treatment Plan ◽

Venous Blood ◽

Chronically Ill ◽

Capillary Blood ◽

Care Providers ◽

Paired Samples ◽

Capillary Sample ◽

Blood Specimens ◽

Chronically Ill Patients

Abstract Objectives Patient compliance with laboratory testing is one of the most underrecognized challenges in developing a treatment plan for acute and chronically ill patients. The ability to offer alternatives to standard venipuncture blood draws would greatly increase a laboratory’s ability to provide testing to patients and health care providers. Methods We performed a prospective observational study on paired venous and fingerstick capillary blood samples from admitted patients undergoing vancomycin therapy. Paired specimens were analyzed for vancomycin and a basic metabolic panel (BMP: calcium, carbon dioxide, chloride, potassium, sodium, creatinine, glucose, serum urea nitrogen) on the core laboratory’s automated chemistry and immunochemistry platforms. Results A total of 59 paired fingerstick and venous blood specimens from 56 unique inpatients were analyzed. Paired samples were comparable for all the analytes tested with the exception of bicarbonate and potassium, which were significantly different among the capillary sample group. Patients required multiple fingers be lanced in 15% of cases to obtain sufficient blood to carry out the testing. Capillary sample rejection rates due to insufficient volumes were as high as 30% in the initial 30 patients enrolled in the study. Conclusions Vancomycin and the BMP, with the exception of potassium and bicarbonate, were determined to be analytically comparable. However, significant preanalytical issues should preclude laboratories and providers from more widespread adoption of fingerstick-derived capillary blood as an alternative sampling method except in the most extenuating of circumstances.

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Comparison of capillary, venous and buffy coat blood samples in detecting Plasmodium species among malaria suspected patients attending at Hamusite health center. A cross-sectional study

BMC Infectious Diseases ◽

10.1186/s12879-021-06290-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Getu Abeje ◽

Woyneshet Gelaye ◽

Getaneh Alemu

Keyword(s):

Health Center ◽

Detection Rate ◽

Venous Blood ◽

Cross Sectional Study ◽

Buffy Coat ◽

Blood Film ◽

Capillary Blood ◽

Sectional Study ◽

Cross Sectional ◽

Blood Samples

Abstract Background Both capillary and venous blood samples have been interchangeably used for the diagnosis of malaria in Ethiopia. However, Plasmodium parasites are thought to be more concentrated in capillary than in venous blood. Hence, selecting a sample source where parasites are more concentrated is indispensable approach in order to maximize the accuracy of blood film microscopy. Therefore, the present study aimed to compare the detection rate and the parasitemia level of Plasmodium species from conventional capillary and venous blood films, and buffy coat preparations. Methods A facility based cross-sectional study was conducted from Feburary to March 2020 among 210 febrile patients attending Hamusite health center, northwest Ethiopia. Capillary and venous blood samples were collected and buffy coat was prepared from each sample. Thin and thick blood films were prepared, stained, and examined microscopically following standard protocol. Data were analysed using Statistical Package for Social Sciences Software version 20 and Med-Calc software version 19.3. Results Capillary blood buffy coat (61/210, 29.0%) had significantly higher detection rate as compared to capillary (48/210, 22.9%) and venous (42/210, 20.0%) blood films (p < 0.001). However, no significant difference was observed between capillary and venous blood films (p = 0.070) in detecting Plasmodium species. The highest and the lowest mean asexual stage parasite counts were found in capillary blood buffy coat (4692.88) and venous blood (631.43) films, respectively showing significant variations (p < 0.001). Mean gametocyte count was also highest in capillary blood buffy coat (3958.44). As compared to capillary blood buffy coat, the sensitivity of venous blood buffy coat, capillary blood film and venous blood film were 73.8, 78.7, 68.9%, respectively. Conclusion Capillary blood buffy coat samples showed the highest sensitivity in detecting and quantitating malaria parasites that its use should be promoted in clinical settings. However, conventional capillary and venous blood films could be used interchangeably.

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Effects of Different Methods Used to Take Blood Samples on Blood Glucose Measurements

Clinical Nursing Research ◽

10.1177/10547738211024782 ◽

2021 ◽

pp. 105477382110247

Author(s):

Eda Ergin ◽

Ayten Zaybak

Keyword(s):

Blood Glucose ◽

Glucose Tolerance Test ◽

Venous Blood ◽

Tolerance Test ◽

Capillary Blood ◽

Oral Glucose ◽

Blood Samples ◽

Significant Difference ◽

Measurement Results ◽

Quasi Experimental

The purpose of this study is to compare whether or not there is a difference between venous and capillary blood samples in blood glucose measurements and investigate the effects of different aseptic methods used in skin cleaning before collecting blood samples on measurement results. This quasi-experimental study was conducted with 109 patients. The capillary first and second blood drop values taken from the patients after fasting and at 2 hours following 75 g oral glucose tolerance test (OGTT) and capillary and venous blood glucose values were compared. There was no significant difference between the median venous blood glucose value and the capillary second blood drop value taken after wiping the finger with alcohol. There was no significant difference between the first and second blood drop values of capillary blood glucose 2 hours after OGTT.

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Reference intervals for venous blood gas measurement in adults

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm-2020-1224 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Kirsty L. Ress ◽

Gus Koerbin ◽

Ling Li ◽

Douglas Chesher ◽

Phillip Bwititi ◽

...

Keyword(s):

Partial Pressure ◽

Meta Analysis ◽

Venous Blood ◽

Reference Interval ◽

Reference Intervals ◽

Published Data ◽

Blood Gas ◽

Arterial Blood Gas ◽

Arterial Blood ◽

Venous Blood Gas

AbstractObjectivesVenous blood gas (VBG) analysis is becoming a popular alternative to arterial blood gas (ABG) analysis due to reduced risk of complications at phlebotomy and ease of draw. In lack of published data, this study aimed to establish reference intervals (RI) for correct interpretation of VBG results.MethodsOne hundred and 51 adult volunteers (101 females, 50 males 18–70 y), were enrolled after completion of a health questionnaire. Venous blood was drawn into safePICO syringes and analysed on ABL827 blood gas analyser (Radiometer Pacific Pty. Ltd.). A non-parametric approach was used to directly establish the VBG RI which was compared to a calculated VBG RI based on a meta-analysis of differences between ABG and VBGResultsAfter exclusions, 134 results were used to derive VBG RI: pH 7.30–7.43, partial pressure of carbon dioxide (pCO2) 38–58 mmHg, partial pressure of oxygen (pO2) 19–65 mmHg, bicarbonate (HCO3−) 22–30 mmol/L, sodium 135–143 mmol/L, potassium 3.6–4.5 mmol/L, chloride 101–110 mmol/L, ionised calcium 1.14–1.29 mmol/L, lactate 0.4–2.2 mmol/L, base excess (BE) −1.9–4.5 mmol/L, saturated oxygen (sO2) 23–93%, carboxyhaemoglobin 0.4–1.4% and methaemoglobin 0.3–0.9%. The meta-analysis revealed differences between ABG and VBG for pH, HCO3−, pCO2 and pO2 of 0.032, −1.0 mmol/L, −4.2 and 39.9 mmHg, respectively. Using this data along with established ABG RI, calculated VBG RI of pH 7.32–7.42, HCO3− 23 – 27 mmol/L, pCO2 36–49 mmHg (Female), pCO2 39–52 mmHg (Male) and pO2 43–68 mmHg were formulated and compared to the VBG RI of this study.ConclusionsAn adult reference interval has been established to assist interpretation of VBG results.

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Blood Glucose Assay Using Dextrostix and a Reflectance Meter

Annals of Clinical Biochemistry International Journal of Laboratory Medicine ◽

10.1177/000456327200900144 ◽

1972 ◽

Vol 9 (1-6) ◽

pp. 91-94 ◽

Cited By ~ 6

Author(s):

I. W. Percy-Robb ◽

R. S. McMaster ◽

A. D. B. Harrower ◽

L. J. P. Duncan

Keyword(s):

Blood Glucose ◽

Venous Blood ◽

Reference Method ◽

Capillary Blood ◽

Blood Samples ◽

Laboratory Staff ◽

Glucose Assay ◽

Reflectance Meter ◽

High Degree ◽

Blood Glucose Concentrations

The ‘Dextrostix’-reflectance meter system for blood glucose analysis has been evaluated using a blood glucose reference method. A high degree of concordance between the two methods was obtained when analyses were performed by skilled laboratory staff on venous blood samples containing fluoride, with a 75 s contact time. Skilled laboratory staff performed significantly better than unskilled staff. Capillary blood glucose concentrations correlated poorly with concentrations in venous blood samples taken at the same time as the capillary blood.

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CAPILLARY BLOOD VERSUS ARTERIAL OR VENOUS BLOOD FOR TACROLIMUS MONITORING IN LIVER TRANSPLANTATION

Transplantation Journal ◽

10.1097/00007890-199509000-00020 ◽

1995 ◽

Vol 60 (5) ◽

pp. 512-514 ◽

Cited By ~ 4

Author(s):

ASHOK B. JAIN ◽

ANTONIO PINNA ◽

JOHN J. FUNG ◽

VIJAY WARTY ◽

AJAY K. SINGHAL ◽

...

Keyword(s):

Liver Transplantation ◽

Venous Blood ◽

Capillary Blood

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Hydranencephaly

PEDIATRICS ◽

10.1542/peds.56.4.616b ◽

1975 ◽

Vol 56 (4) ◽

pp. 616-617

Author(s):

Alistair G.S. Philip

Keyword(s):

Clinical Evidence ◽

Venous Blood ◽

Capillary Blood

The article by Koffler and colleagues presented an interesting hypothesis attributing hydranencephaly to elevated hematocrit levels in a newborn. The hypothesis is quite reasonable, but appears to be based on shaky clinical evidence. The authors make it clear that their determinations of hematocrit levels were made on capillary blood, but do not make it clear how they were obtained. Their statements about polycythemia and hyperviscosity relate to venous blood. Since no studies of viscosity were performed, it may not be justifiable to assume that because the capillary hematocrit was greatly elevated, hyperviscosity was present.

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