Towards European urinalysis guidelines - Introduction of a project under European Confederation of Laboratory Medicine
Towards European urinalysis guidelines - Introduction of a project under European Confederation of Laboratory Medicine
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DOI：
10.1016/s0009-8981(00)00256-4
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发表时间：
2000-07-01
影响因子：
5
通讯作者：
Guder, WG
中科院分区：
文献类型：
--
作者：
Kouri, TT;Gant, VA;Guder, WG
需要改进标准化性能，因为尿分析仍然是最频繁要求的实验室检查之一。自1997年以来，欧洲实验室医学联合会（ECLM）一直在支持一个旨在制定欧洲尿液分析指南的跨学科项目。70多名临床化学家、微生物学家和病房临床医生以及制造商代表参加了会议。这些指南旨在通过提出可在欧洲应用的最佳调查程序来提高化学尿液分析、颗粒计数和细菌培养的质量和一致性。该方法基于尿液分析的医疗需求。分析前阶段对总体质量的重要性通过详细的样本采集说明性建议得到强调。还注意到新兴的自动化技术，出于成本控制的原因，建议采用最佳（理想）程序和最少的分析方法。由于尿液分析大多缺乏真正的参考方法（主要参考测量程序; 4级），因此提出了一种新的方法分类：比较测量程序（3级），定量常规程序（2级）和顺序量表检查（1级）。建议采取分步策略以节省成本，对一般和特定患者人群应用不同的规则。创建了新的分析质量标准。经过一段时间的磋商后，最后的书面文本将作为一份单独的文件全文发表。(C)2000 Elsevier Science B. V.保留所有权利。
Improved standardized performance is needed because urinalysis continues to be one of the most frequently requested laboratory tests. Since 1997, the European Confederation of Laboratory Medicine (ECLM) has been supporting an interdisciplinary project aiming to produce European urinalysis guidelines. More than seventy clinical chemists, microbiologists and ward-based clinicians, as well as representatives of manufacturers are taking part. These guidelines aim to improve the quality and consistency of chemical urinalysis, particle counting and bacterial culture by suggesting optimal investigative processes that could be applied in Europe. The approach is based on medical needs for urinalysis. The importance of the pre-analytical stage for total quality is stressed by detailed illustrative advice for specimen collection. Attention is also given to emerging automated technology, For cost containment reasons, both optimum (ideal) procedures and minimum analytical approaches are suggested. Since urinalysis mostly lacks genuine reference methods (primary reference measurement procedures; Level 4), a novel classification of the methods is proposed: comparison measurement procedures (Level 3), quantitative routine procedures (Level 2), and ordinal scale examinations (Level 1). Stepwise strategies are suggested to save costs, applying different rules for general and specific patient populations. New analytical quality specifications have been created. After a consultation period, the final written text will be published in full as a separate document. (C) 2000 Elsevier Science B.V. All rights reserved.