Background. Sepsis is one of the most common causes of hospitalization and it is characterized by a high mortality rate in spite of the great progress in diagnosis and treatment achieved in recent years. Early diagnosis of sepsis is one of the most important elements of effective treatment. The clinical symptoms are not specific and biomarkers are considered to be useful tools in sepsis diagnostics.
Introduction: Point of care testing (POCT) are tests carried out near to the patient, outside the laboratory. There is a continuing increase interest in POCT, however the issue of quality of those tests rises concerns. Glucose concentration measurements are carried out using glucometers, which makes those analyzers a POCT tool. All devices outside the laboratory should be included in internal quality control system according to ISO 22870, so it is necessary to control glucometers as well.<br>Aim: To perform the quality control of glucometers as a POCT tools in University Hospital in Wroclaw, evaluate the correct use of glucometers, conduct replacement of devices, and implement constant internal quality control.<br>Materials and methods: The approximate count of blood glucose measurements in the hospital was determined on the basis of laboratory data and glucometers strips orders. Quality control was performed using MediSense certified control materials at two concentrations levels. A total of 272 control measurements were used for interpretation, which were made on 25 FreeStyle Optium H glucometers. The results were registered in quality control sheet.<br>Results: Laboratory determinations of glucose concentration represented 24.6% of all glucose measurements, POCT tests 75,4%. Among control measurements 80.88% were within ± 15% error recommended by Polish Diabetology Association and 19.12% exceeded it, 7.35% exceeded ± 20%. However none measurement exceeded the error recommended by glucometer manufacturer.<br>Conclusions: Based on our results several glucometers were replaced and the systematic internal quality control was introduced. Numerous of glucometer training courses for medical staff were conducted.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.