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Revista Mexicana de Pediatría

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1999, Number 3

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Rev Mex Pediatr 1999; 66 (3)

Sensibilidad y especificidad de un refractómetro visual en el diagnóstico rápido de hipoglicemia en neonatos

González GMM. Zavala GNA, Rodríguez BI, Rodríguez BR
Full text How to cite this article

Language: Spanish
References: 22
Page: 88-91
PDF size: 118.95 Kb.


Key words:

Newborns, neonatal hypoglycemia, glucometer.

ABSTRACT

Objective. The object of this study was to determine the sensitivity and specificity of a visual refractometer and the dextrostix in the diagnosis of neonatal hypoglycemia, using as «gold standard» the glucose-oxidase method.
Material and methods. One group of 60 newborns, with dextrostix reading of less than 40 mg/dL and risk factors of hypoglicemia, and other one of 60 healthy newborns, were subjects of study. The measurement of blood glucose was done by the three methods: glucose-oxidase, dextrostix and by the visual refractometer.
Results. The measurement with the visual refractometer had a specificity of 100% and a sensitivity of 95%.
Conclusions. The visual refractometer is an reliable method for rapid diagnosis of hypoglycemia in newborns.


REFERENCES

  1. Elimam A, Horal M, Bergströni M, Marcus C. Diagnosis of hypoglycaemia: effects of blood sample handling and evaluation of a glucose photometer in the low glucose range. Acta Paediatr 1997; 86; 474-478.

  2. Cowett RM. Pathophysiology, diagnosis and management of glucose homeostasis in the neonate. Curr Prob Pediatr 1985; 15: 1-47.

  3. Mehta Anil. Prevention and management of neonatal hypoglycaemia. Arch Dis Child 1994; 76: F54-F59.

  4. Méndez-Ramírez I, Namihira-Guerrero D. El protocolo de Investigación. 3a. Reimpresión. México: Editorial Trillas, 1988: 171-176.

  5. Daniel WW. Bioestadística base para el análisis de las ciencias de la salud 5a. Edición. México: Editorial UTEHA 1995: 245-293.

  6. Kelsey JL. Methods in observational epidemiology. 2a. Edition. New York: Oxford University Press 1996: 342-349.

  7. Dawson-Saunders B, Trapp RB. Bioestadística médica. Manual Moderno. 2a. Edición 1997; 375-385.

  8. Cloherty JP, Stark AR. Manual of Neonatal Care. 4a. Ed. Philadelphia. Lippincott-Raven Publishers 1998; 545-579.

  9. Fanaroff AV, Marin RJ. Neonatal-Perinatal Medicine. Diseases of the Fetus and Infant. Sixth edition. St Louis Missouri: Mosby-Year Book 1997: 14431461.

  10. Cornblath. Hypoglycaemia in the neonate. J Pediatr Endocrinol 1993; 6: 113.

  11. Holtrop PC. The frequency of hypoglycaemia in full-term large and small for gestational age newborns. Am J Perinatol 1993; 10: 150.

  12. Conrad P, Sparks JW, Osberg I, Abrams L, Hay WW. Clinical application of a new glucose analyzer in the neonatal intensive care unit: Comparison with other methods. J Pediatr 1989; 114: 281-286.

  13. Pearlman RH, Gutcher GR, Engle MJ, MacDonald MJ. Comparative analysis of four methods for rapid glucose determination in neonates. Am J Dis Child 1982; 136; 1051-1053.

  14. Barreau PB, Buttery JE. The effect of haematocrit values on determination of glucose levels by reagent strip. Med J Aust 1987; 147: 282-287.

  15. Grazaitis DM, Sexson WR. Erroneously high Destrostix values caused by isopropyl alcohol. Pediatrics 1980; 66: 221-222.

  16. Togari H. Oda M, Wada Y. Mechanism of erroneous Destrostix readings. Arch Dis Child 1987; 62; 408-409.

  17. Innanen VT, DeLand ME, De Campos FM, Dunn MS. Point-of care glucose testing in the nonatal intensive care unit is facilitated by the use of the Ames Glucometer Elite electrochemical glucosemeter. J Pediatr 1997; 130, 1: 151155.

  18. Koschinsky T, Dannehl K, Gries FA. New Approach to technical and clinical evaluation of devices for self- monitoring of blood glucose. Diabetes Care 1988; 11: 619-629.

  19. Lin HC, Maguire C, Oh W, Cowett R. Clinical and laboratory observations. Accuracy and reliability of glucose reflectancemeters in the high-risk neonate. J Pediatr 1989; 115: 998-1000.

  20. Dahlberg M, Whitelaw A. Evaluation of HemoCue Blood Glucose Analyzer for the instant diagnosis of hypoglycaemia in newborns. Scand J Clin Lab Invest 1997; 57: 719-724.

  21. Kost GJ, VU HT, Lee JH, Bourgeois P, Kiechle FL, Martin C, Miller SS et al. Multicenter study of oxygen-insensitive handheld glucose point-of-care testing in critical car/hospital/ambulatory patients in the United States and Canada. Crit Care Med 1998; 26: 581-590.

  22. Kirkham P. Watkins A. Comparison of two reflectance photometers in the assessment of neonatal hypoglycaemia. Arch Dis Child Fetal Neonatal Ed 1995; 73 (3): F170-173.




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Rev Mex Pediatr. 1999;66