2010, Number 4
<< Back Next >>
Rev Mex Patol Clin Med Lab 2010; 57 (4)
Immature granulocytes: Reference values, using the sysmex XE-2100 blood counter
Sáenz FK, Narváez GL, Cruz M, Checa C
Language: Spanish
References: 13
Page: 163-169
PDF size: 180.91 Kb.
ABSTRACT
Introduction: Automated hemograms have undergone numerous technical innovations during the last years. The immature granulocytes count, based on differences in membrane composition and on their higher levels of RNA, is a new parameter in the differential blood cell count. Its advantages include a rapid processing time and low cost. For it to be used as a parameter for clinical analysis, it becomes essential to establish reference «healthy» values so potentially pathological levels can be identified.
Material and methods: A descriptive epidemiological survey was performed on a convenience sample of 708 hemograms selected from adults of both sexes and ages ranging from 18 to 60 years submitted to Net-Lab S.A. (Quito-Ecuador), received as part of routine health checkups during January and February 2009. We used the blood counter Sysmex XE-2100®.
Results: The average age of the subjects studied was 34.18 ± 11.7 years, and 64.4% of the subjects were males. Among this apparently healthy population, the reference absolute counts calculated for immature granulocytes ranged between zero and 0.03 x10
3/mm
3, and the relative counts were between zero and 0.4%, without significant differences by gender.
Conclusions: These results were similar to the values reported in a German study made with an «a priori» methodology in healthy blood donors in the University Hospital of Leipzig. Thus, the reference values we identified may be generalizable to other populations.
REFERENCES
Briggs, C. Quality counts: New parameters in blood cell counting. Internat J Lab Hematol 2009; 31: 277-297.
Krause, JR. The automated white blood cell differential. A current perspective. Hematol Oncol Cin North Am 1994; 8: 617-629.
Gulati, GL y Hyun, BH. The automated CBC. A current perspective. Hematol Oncol Clin North Am 1994; 8: 593-603.
Zwik, D. Pathology and Laboratory Medicine Newsletter. www. childrens-mercy.org [En línea] Junio de 2007. http://www. childrens-mercy.org/Content/view.aspx?id=2727.
Bruegel M, Fielder GM, Matthes G, Thiery J. Reference Values for Immature Granulocytes in Healthy Blood Donors Generated on the Sysmex XE-2100 Automated Hematology Analyzer. Sysmex J Internat 2004; 14: 5-7.
Field D, Taube E, Heumann S. Performance evaluation of immature granulocyte parameter on Sysmex XE - 2100 automated hematology analyzer. Lab Heme 2006: 11-14.
Piva E, Pasini L. Innovations on automated enumeration of immature granulocytes. RIMeL-IJLaM 2008; 4 (3, supl 1): 102 – 103.
Weiland T, Kalkman H, Heihn H. Evaluation of automated immature granulocyte parameter on Sysmex XE-2100 automated hematology analyzer versus visual microscopy (NCCLS H20A). Sysmex Internat J 2002; 12: 63-70.
NCCLS. How to define and determine intervals in the clinical. 2nd ed. NCCLS document C28A2, 2000.
Fraser CG. Biological variation: From principles to practice. USA: American Association of Clinical Chemistry (AACC); 2001. p. 91- 92, 104-109.
ISO/IEC 15189:2007. Laboratorios Clínicos - Requisitos particulares para la calidad y la competencia. 2007.
Briggs C et al. Evaluation of immature granulocyte counts by XE-IG master: upgraded software for the XE2100 automated hematology analyzer. Lab Hem 2003; 9: 117-124.
Ansari-Lari MA, Kinkler TS, Borowitz MJ. Immature granulocyte measurement using the Sysmex XE2100: relationship to infection and sepsis. Am J Clin Path 2003; 120: 795-799