Araştırma Makalesi
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DETERMINATION OF BLOOD ETHANOL LEVELS: COMPARISON OF ENZYMATIC AND GAS CHROMATOGRAPHIC METHODS

Yıl 2012, Cilt: 26 Sayı: 3, 89 - 91, 30.12.2012
https://izlik.org/JA23MG27UZ

Öz

Objective:
Forensic and clinical laboratories
determine blood alcohol concentrations (BAC) using gas chromatography–head space, and enzymatic ethanol assay methods.
However, the use of enzymatic
ethanol assays is still controversial. Several authors have reported that increased concentrations
of lactate dehydrogenase might
cause false-positive results with
enzymatic ethanol assays. This
study was designed to compare
the Roche® enzymatic method
with the reliable conventional
gas chromatographic method.
Methods:
The blood samples collected from
20 voluntary individuals (3 females and 17 males) were analyzed
by both methods. A control group
was constituted from 10 healthy
individuals that were non-users of
alcohol.
Results:
Blood LDH levels of all participants
were varying between 294-932
U/L. A significant correlation
related with the effect of LDH
level on BAC was not detected
since the LDH levels were in
normal range. The present study
shows significant quantitative
difference in detected blood
ethanol levels of the experimental
group between the enzymatic and
gas chromatographic methods.
All samples of alcohol users
were positive and the percentage
difference between BAC obtained
by the enzymatic versus the GCHS method ranged from -166
to +17%. Nineteen (95%) in 20
positive samples showed lower
detected ethanol values with the
enzymatic method compared
to GC-HS analysis. Despite the
fact that ethanol was found to
be negative in all samples of the
control group with GC-HS method,
enzymatic method gave false
positive results for two samples
(10%) of the control group.
Conclusion:
GC-HS still remains as a specific,
accurate and reliable method for
determination of ethanol levels.

Kaynakça

  • Nine JS, Moraca M, Virci MA, Rao KN. Serum-ethanole determination: Comparison of lactate and lactate dehidrogenase interference in three enzymatic assays. J Anal Tox 1995;19:192-6.
  • Badcock NR, O’Reilly DA. False positive ethanol results with EMIT®. Clin Chem 1993;39:1143.
  • Thompson WC, Malhorta D, Blackwell W, Ward M, Dasgupta A. False positive ethanol in clinical and postmortem sera by enzmatic assay: elimination of interference by measuring alcohol in protein-free ultrafiltrate. Clin Chem 1984;40:8.
  • Levine B. Principles of Forensic Toxicology. 2nd ed. USA, AACC Press. 2003.
  • Eder AF, Dowdy YG, Gardiner JAM, Wolf BA, Shaw LM. Serum lactate and lactate dehidrogenase in high concentrations interfere in enzymatic assay of ethylene glycol. Clin Chem 1996;42:9.
  • Winek CL, Wahba WW, Windisch RM, Winek CL Jr. Serum alcohol concentrations in trauma patients determined by immunoassay versus gas chromatography. Forensic Sci Int 2004;139:1-3.
  • Gharapetian A, Holmes DT, Urquhart N, Rosenberg F. Dehidrogenase interference with enzymatic ethanol assay: Forgotten but not gone. Clin Chem 2008;54:7.
  • Peek GJM, Keating JW, Ward RJ, Peter TJ, Archer GJ, Khawar MK. Alcohol swabs and venepuncture. Lancet 1989;1:1388.
  • Malingre M, Ververs T, Bos S, Kesteren CV. Alcohol swabs and venipuncture in a routine hospital setting: no effect on blood ethanol measurement. Ther Drug Monit 2005;27:403-4.

Yıl 2012, Cilt: 26 Sayı: 3, 89 - 91, 30.12.2012
https://izlik.org/JA23MG27UZ

Öz

Kaynakça

  • Nine JS, Moraca M, Virci MA, Rao KN. Serum-ethanole determination: Comparison of lactate and lactate dehidrogenase interference in three enzymatic assays. J Anal Tox 1995;19:192-6.
  • Badcock NR, O’Reilly DA. False positive ethanol results with EMIT®. Clin Chem 1993;39:1143.
  • Thompson WC, Malhorta D, Blackwell W, Ward M, Dasgupta A. False positive ethanol in clinical and postmortem sera by enzmatic assay: elimination of interference by measuring alcohol in protein-free ultrafiltrate. Clin Chem 1984;40:8.
  • Levine B. Principles of Forensic Toxicology. 2nd ed. USA, AACC Press. 2003.
  • Eder AF, Dowdy YG, Gardiner JAM, Wolf BA, Shaw LM. Serum lactate and lactate dehidrogenase in high concentrations interfere in enzymatic assay of ethylene glycol. Clin Chem 1996;42:9.
  • Winek CL, Wahba WW, Windisch RM, Winek CL Jr. Serum alcohol concentrations in trauma patients determined by immunoassay versus gas chromatography. Forensic Sci Int 2004;139:1-3.
  • Gharapetian A, Holmes DT, Urquhart N, Rosenberg F. Dehidrogenase interference with enzymatic ethanol assay: Forgotten but not gone. Clin Chem 2008;54:7.
  • Peek GJM, Keating JW, Ward RJ, Peter TJ, Archer GJ, Khawar MK. Alcohol swabs and venepuncture. Lancet 1989;1:1388.
  • Malingre M, Ververs T, Bos S, Kesteren CV. Alcohol swabs and venipuncture in a routine hospital setting: no effect on blood ethanol measurement. Ther Drug Monit 2005;27:403-4.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Adli Biyoloji
Bölüm Araştırma Makalesi
Yazarlar

Nebile Dağlıoğlu Bu kişi benim

Alper Keten Bu kişi benim

Ramazan Akçan Bu kişi benim

Pınar Efeoğlu Bu kişi benim

Necmi Çekin Bu kişi benim

Gönderilme Tarihi 18 Haziran 2012
Yayımlanma Tarihi 30 Aralık 2012
IZ https://izlik.org/JA23MG27UZ
Yayımlandığı Sayı Yıl 2012 Cilt: 26 Sayı: 3

Kaynak Göster

Vancouver 1.Nebile Dağlıoğlu, Alper Keten, Ramazan Akçan, Pınar Efeoğlu, Necmi Çekin. DETERMINATION OF BLOOD ETHANOL LEVELS: COMPARISON OF ENZYMATIC AND GAS CHROMATOGRAPHIC METHODS. ATD [Internet]. 01 Aralık 2012;26(3):89-91. Erişim adresi: https://izlik.org/JA23MG27UZ

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