Interference by piperacillin/tazobactam in the measurement of creatinine with the Jaffe method and of total protein with the biuret method.


Journal

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
ISSN: 1441-2772
Titre abrégé: Crit Care Resusc
Pays: Netherlands
ID NLM: 100888170

Informations de publication

Date de publication:
Jun 2021
Historique:
medline: 4 12 2023
pubmed: 4 12 2023
entrez: 4 12 2023
Statut: epublish

Résumé

Serum creatinine and total protein are routinely measured biochemical parameters used in clinical medicine. An abnormal result caused by interference with the assay does not accurately reflect a patient's clinical state and therefore risks misleading clinicians. We report the case of a patient who had unexplainable high creatinine and total protein results. The blood collection was contaminated with intravenous fluid and the patient was receiving piperacillin/tazobactam. Additional laboratory studies demonstrated piperacillin/tazobactam was the cause of the false positive results and the elevation in both serum creatinine and protein level was dependent on the concentration of antibiotic present.

Identifiants

pubmed: 38045524
doi: 10.51893/2021.2.cr1
pii: S1441-2772(23)00419-2
pmc: PMC10692513
doi:

Types de publication

Case Reports

Langues

eng

Pagination

141-143

Informations de copyright

© 2021 College of Intensive Care Medicine of Australia and New Zealand.

Déclaration de conflit d'intérêts

No relevant disclosures.

Références

Clin Chem. 2012 Feb;58(2):391-401
pubmed: 22166253
Transl Androl Urol. 2019 May;8(Suppl 2):S214-S223
pubmed: 31236339
Ann Biol Clin (Paris). 2001 Sep-Oct;59(5):629-31
pubmed: 11602395
Antibiotics (Basel). 2020 Mar 21;9(3):
pubmed: 32245195
Clin Chem Lab Med. 2009;47(2):235-6
pubmed: 19191731
Clin Chem Lab Med. 2005;43(1):71-4
pubmed: 15653446

Auteurs

Goce Dimeski (G)

Chemical Pathology, Princess Alexandra Hospital, Queensland Health Pathology, Brisbane, QLD, Australia.

Peter S Kruger (PS)

Intensive Care Unit, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Critical Care and Anaesthesia, University of Queensland, Brisbane, QLD, Australia.

Classifications MeSH