Urine dipstick for screening plasma glucose and bilirubin in low resource settings : a proof-of-concept study

© 2023 the author(s), published by De Gruyter, Berlin/Boston..

Objectives: The purpose of this proof-of-concept study was to investigate whether a commercially available urine dipstick may provide potentially useful information for screening plasma glucose and bilirubin in human plasma samples.

Methods: Glucose and bilirubin were assayed in 60 anonymized lithium-heparin residual plasma samples using the Roche COBAS 8000 or after pipetting 10 µL of plasma onto the pads of a commercial urine dipstick. Semiquantitative urine test results obtained with the dipstick were directly compared to paired test results obtained with COBAS.

Results: Median plasma glucose values between COBAS and dipstick were slightly different (5.8 vs. 5.6 mmol/L; p=0.040), while no significant difference was found in bilirubin values between COBAS and dipstick (11.2 vs. 8.6 μmol/L; p=0.090). The Spearman's correlation between COBAS and dipstick was 0.83 (95% CI, 0.73-0.90; p<0.001) for plasma glucose and 0.78 (95% CI, 0.66-0.87; p<0.001) for plasma bilirubin, respectively. Cumulative agreement between COBAS and dipstick was high for both glucose (88%; kappa statistic statistics, 0.75; 95% CI, 0.58-0.92; p<0.001) and bilirubin (88%; kappa statistics, 0.76; 95% CI, 0.60-0.92; p<0.001).

Conclusions: The results of this proof-of-concept study indicate that the commercial urine test strip used in our study provides acceptable performance for screening plasma glucose and bilirubin levels compared with reference laboratory assays.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:4

Enthalten in:

Advances in laboratory medicine - 4(2023), 4 vom: 03. Dez., Seite 431-434

Sprache:

Englisch

Beteiligte Personen:

Pighi, Laura [VerfasserIn]
Negrini, Davide [VerfasserIn]
Henry, Brandon M [VerfasserIn]
Salvagno, Gian Luca [VerfasserIn]
Lippi, Giuseppe [VerfasserIn]

Links:

Volltext

Themen:

Dipstick
Journal Article
Plasma
Test strip
Urine

Anmerkungen:

Date Revised 19.12.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1515/almed-2023-0114

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365971995