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Revista Mexicana de Patología Clínica y Medicina de Laboratorio

ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio
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2009, Number 4

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Rev Mex Patol Clin Med Lab 2009; 56 (4)

Interference between medications and laboratory tests in hospitalized patients. An experience at the ABC Medical Center

Munive LMR, Simón DJI, Oropeza CR
Full text How to cite this article

Language: Spanish
References: 13
Page: 265-270
PDF size: 65.74 Kb.


Key words:

Interference, medications, laboratory tests, hospitalized patients, prospective and observational study, serum glucose, metronidazole.

ABSTRACT

Introduction: Hospitalized patients are generally under treatment with several drugs that may be capable of interfere with the methodologies used in laboratory tests. This situation may present a high risk of error and a challenge to laboratory professionals. Objective: To determine the interference frequency between medicines or drugs and laboratory tests in hospitalized patients. Material and methods: This was a prospective and observational study about the prescribed medications and the laboratory tests required to the hospitalized patients in the ABC Medical Center during the days of March 5th and 9th 2008. Results: The total number of patients hospitalized at the moment of the study was of 294, from which 219 of them (74.5%) counted on prescribed drugs. Thirty-four of these patients (17.8%) presented interference at the end of the study. The laboratory results and the medications found to be most frequently associated to interference were serum glucose andmetronidazole, respectively. Conclusions: The probability that a laboratory result may be affected by an interference phenomenon depends in a great part on the number and type of the administered drug or medication. This present study gives a general idea about the frequency that this phenomenon may present in our laboratory tests, and what kind of results may be potentially affected.


REFERENCES

  1. Kroll MH, Ellin RJ. Interference with clinical laboratory analyses. Clin Chem 1994; 40 (11): 1996-2005.

  2. Young DS, Thomas DW, Friedman RB. Computer listing of the effects od drugs on laboratory data. J Clin Path 1972; 25: 984-988

  3. Kailajarvi M, Takala T, Gronroos P, Tryding N, Viikari J et al. Reminders of drug effects on laboratory test results. Clin Chem 2000; 46 (9): 1395-1400.

  4. Kazmierczak SC, Catrou PG. Analytical interference, more than a just laboratory problem. Am J Clin Pathol 2000; 113: 9-11.

  5. Muther RS. Drug interference with renal function test. Am J Kid Dis 1983; 3 (2): 118-120.

  6. Hollensead SC, Lockwood WB, Elin RJ. Errors in pathology and laboratory medicine: consequences and prevention. J Surg Oncol 2004; 88: 161-181.

  7. Hansten PD. Drug interactions. 4th ed. Philadelphia: Lea & Febiger; 1979. p. 303-491.

  8. Sher PP. Drug interferences with clinical laboratory test. Drugs 1982; 24 (1): 24-63.

  9. Christian DG. Drug interference with laboratory blood chemistry determinations. Am J Clin Pathol 1970: 54 (1): 118-142.

  10. IFCC Guidelines to the Evaluation of Drug Effects in Clinical Chemistry. Data banks. Scand J Clin Lab Invest Suppl 1989; 195: 1-29.

  11. Siest G, Dawkins SJ, Galteau MM. Drug effects on clinical laboratory test. J Pharm Biomed Anal 1983; 1 (3): 247-257.

  12. McClatchey KD. Clinical Laboratory Medicine. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 97-121.

  13. Terleira A, Portolés A, Rojas A, Vargas E. Effect of drug-test interactions on lenght of hospital stay. Pharmacoepidemiol Drug Saf 2007; 16 (1): 39-45.




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Rev Mex Patol Clin Med Lab. 2009;56