Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations

Increased plasma lactate levels can indicate the presence of metabolic disorders in HIV infected individuals. Objective: To determine whether a portable analyzer is valid for measuring cerebrospinal fluid (CSF) and plasma lactate levels in HIV infected individuals. Method: CSF and plasma were c...

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Main Authors: Sérgio Monteiro de Almeida, Jennifer Marquie-Beck, Archana Bhatt, Scott Letendre, Allen McCutchan, Ron Ellis
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-07-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700500&lng=en&tlng=en
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author Sérgio Monteiro de Almeida
Jennifer Marquie-Beck
Archana Bhatt
Scott Letendre
Allen McCutchan
Ron Ellis
author_facet Sérgio Monteiro de Almeida
Jennifer Marquie-Beck
Archana Bhatt
Scott Letendre
Allen McCutchan
Ron Ellis
author_sort Sérgio Monteiro de Almeida
collection DOAJ
description Increased plasma lactate levels can indicate the presence of metabolic disorders in HIV infected individuals. Objective: To determine whether a portable analyzer is valid for measuring cerebrospinal fluid (CSF) and plasma lactate levels in HIV infected individuals. Method: CSF and plasma were collected from 178 subjects. Samples tested by the Accutrend® portable analyzer were compared to those tested by a reference device (SYNCHRON LX® 20). Results: The portable analyzer had in plasma sensitivity of 0.95 and specificity 0.87. For CSF the specificity was 0.95; the sensitivity 0.33; the negative predictive value was 95% and the positive predictive value 33%. Conclusions: These findings support the validity of the portable analyzer in measuring lactate concentrations in CSF that fall within the normal range. The relatively poor positive predictive value indicates that a result above the reference range may represent a “false positive test”, and should be confirmed by the reference device before concluding abnormality.
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institution Kabale University
issn 1678-4227
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publishDate 2014-07-01
publisher Thieme Revinter Publicações
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-033fb54d73af4600a364786f78aebdcd2025-08-20T03:55:32ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-07-0172750050510.1590/0004-282X20140076S0004-282X2014000700500Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluationsSérgio Monteiro de AlmeidaJennifer Marquie-BeckArchana BhattScott LetendreAllen McCutchanRon EllisIncreased plasma lactate levels can indicate the presence of metabolic disorders in HIV infected individuals. Objective: To determine whether a portable analyzer is valid for measuring cerebrospinal fluid (CSF) and plasma lactate levels in HIV infected individuals. Method: CSF and plasma were collected from 178 subjects. Samples tested by the Accutrend® portable analyzer were compared to those tested by a reference device (SYNCHRON LX® 20). Results: The portable analyzer had in plasma sensitivity of 0.95 and specificity 0.87. For CSF the specificity was 0.95; the sensitivity 0.33; the negative predictive value was 95% and the positive predictive value 33%. Conclusions: These findings support the validity of the portable analyzer in measuring lactate concentrations in CSF that fall within the normal range. The relatively poor positive predictive value indicates that a result above the reference range may represent a “false positive test”, and should be confirmed by the reference device before concluding abnormality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700500&lng=en&tlng=enHIVlíquido cefalorraquidianoquímica clínicalactato
spellingShingle Sérgio Monteiro de Almeida
Jennifer Marquie-Beck
Archana Bhatt
Scott Letendre
Allen McCutchan
Ron Ellis
Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations
Arquivos de Neuro-Psiquiatria
HIV
líquido cefalorraquidiano
química clínica
lactato
title Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations
title_full Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations
title_fullStr Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations
title_full_unstemmed Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations
title_short Portable lactate analyzer for measuring lactate in cerebrospinal fluid (CSF) and plasma ? method-comparison evaluations
title_sort portable lactate analyzer for measuring lactate in cerebrospinal fluid csf and plasma method comparison evaluations
topic HIV
líquido cefalorraquidiano
química clínica
lactato
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700500&lng=en&tlng=en
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