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2010, Number 1

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Med Crit 2010; 24 (1)

A new test of renal function

Briones GJC, Díaz LPMA, Loiseau AH, Briones VCG
Full text How to cite this article

Language: Spanish
References: 9
Page: 30-34
PDF size: 78.39 Kb.


Key words:

Beta 2 microglobulin, acute renal failure, creatinine debugging.

ABSTRACT

Introduction: In 1926 was proposed creatinine clearance as an indicator of kidney function, we use at present in patients acute. In 1968 was isolated from the urine of Wilson, characterized by proximal tubular damage disease patients the Beta 2 (MGB2) microglobulin, a polypeptide low molecular weight, this increase is verifiable in situations by the glomerular filtration decrease, what makes useful in the detection of tubular dysfunctions proximal.
Objective: Presented the results of the determination of beta 2 microglobulin and its correlation with creatinine clearance in obstetric patients with renal failure acute.
Material and methods: A prospective, comparative study was designed and cross-cutting of a series of 29 cases and contrasted with 40 controls. Is proceeded to the quantification and calculation of the creatinine debugging according the technique described originally with creatinine UP calculation by vol/Min. Likewise, peripheral blood samples were taken to make the determination serum Beta 2 Microglobulin with the technique of immunoassay, Lives, BioMeriéux Mexico (ELFA: Enzyme Linked fluorescent Assay).
Results: Using the formula for the linear correlation coefficient obtained a correlation refusal with r = - 0.72, has a 93% sensitivity and specificity of the 100% according to the calculation using the table of 2 x 2.
Conclusions: Beta 2 microglobulin the diagnosis of be fast is reliable, because it shows a high sensitivity and specificity and promises to become the standard of gold.


REFERENCES

  1. Díaz de León PM, Briones GJC. Pruebas de laboratorio y gabinete en el diagnóstico de la insuficiencia renal aguda. En: Díaz de León PM, Briones GJC, Meneses CJ. Fundamentos de Insuficiencia Renal Aguda. Distribuidora y Editora Mexicana SA de CV; México 2008:151-163.

  2. Mullally S, Wilkinson R, O’Donoghue D, Bakran A, et al. The National Service Framework for Renal Services Part Two: Chronic Kidney Disease, Acute Renal Failure and End of Life Care, Department of Health NHS, London. 2005.

  3. National Kidney Foundation. Clinical practice guidelines for anemia of chronic kidney disease. 2000.

  4. National Kidney Foundation. NKF-K/DOQI clinical practice guidelines for vascular access: update. Am J Kidney Dis 2000;37(1):Suppl 1,p.S137.

  5. Leyva JR, Álvarez AC, López MMG. Función renal en diabéticos tipo 2, determinada por la fórmula de Cockcroft-Gault y depuración de creatinina. Rev Med IMSS 2004;42(1):5-10.

  6. Díaz de León PM. Insuficiencia Renal Aguda. En: Medicina Crítica Diagnóstico y Terapéutica. México, DEM S.A de C.V. 2001.

  7. Meneses CJ, Briones VCG, Moreno SA, Amezola CMA, Anaya TFJ, Mújica HM, Díaz de León PM, Briones GJC. B-2 microglobulina como marcador de IRA en pacientes obstétricas. Rev Asoc Mex Med Crit y Ter Int 2007;21(2):63-66.

  8. García GER, Olvera HC, Moreno GJ, Bonilla AB, Radio R, Navarro TS, Méndez NI. Insuficiencia renal aguda y estado de choque: comparación entre FENa y B2-m. Rev Mex Pediatr 1986;53(1):61-68.

  9. Cruz VG, Cruz LC, Sánchez MJ, Estrada AC. Insuficiencia renal aguda en la Unidad de Cuidados Intensivos. Revisión Rev Asoc Mex Med Crit y Ter Int 2009; 23(2):89-93.




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C?MO CITAR (Vancouver)

Med Crit. 2010;24