The effect of urea on refractometric total protein measurement in dogs and cats with azotemia

© 2017 American Society for Veterinary Clinical Pathology.

Détails bibliographiques
Publié dans:Veterinary clinical pathology. - 1975. - 46(2017), 1 vom: 15. März, Seite 138-142
Auteur principal: Legendre, Kelsey P (Auteur)
Autres auteurs: Leissinger, Mary, Le Donne, Viviana, Grasperge, Britton J, Gaunt, Stephen D
Format: Article en ligne
Langue:English
Publié: 2017
Accès à la collection:Veterinary clinical pathology
Sujets:Journal Article BUN cat dog interference refractometer total protein Blood Proteins Biuret 89LJ369D1H plus... Urea 8W8T17847W Bilirubin RFM9X3LJ49
Description
Résumé:© 2017 American Society for Veterinary Clinical Pathology.
BACKGROUND: While protein is the predominant solute measured in plasma or serum by a refractometer, nonprotein substances also contribute to the angle of refraction. There is debate in the current literature regarding which nonprotein substances cause factitiously high refractometric total protein measurements, as compared to the biuret assay
OBJECTIVES: The purpose of the study was to determine if the blood of azotemic animals, specifically with increased blood urea concentration, will have significantly higher refractometric total protein concentrations compared to the total protein concentrations measured by biuret assay
METHODS: A prospective case series was conducted by collecting data from azotemic (n = 26) and nonazotemic (n = 34) dogs and cats. In addition, an in vitro study was performed where urea was added to an enhanced electrolyte solution at increasing concentrations, and total protein was assessed by both the refractometer and spectrophotometer. Statistical analysis was performed to determine the effect of urea
RESULTS: The refractometric total protein measurement showed a positive bias when compared to the biuret protein measurement in both groups, but the bias was higher in the azotemic group vs the nonazotemic group. The mean difference in total protein measurements of the nonazotemic group (0.59 g/dL) was significantly less (P < .01) than the mean difference of the azotemic group (0.95 g/dL). The in vitro experiment revealed a positive bias with a proportional error
CONCLUSIONS: This study demonstrated that increasing concentrations of urea significantly increased the total protein concentration measured by the refractometer as compared to the biuret assay, both in vivo and in vitro
Description:Date Completed 26.09.2017
Date Revised 26.09.2017
published: Print-Electronic
Citation Status MEDLINE
ISSN:1939-165X
DOI:10.1111/vcp.12464