BILIRUBIN TOTAL (DPD) Reagent kit for the quantitative determination of direct bilirubin in serum. DPD Quality control
A quality control program is recommended for all clinical laboratories. The analysis of
control material in both the normal and abnormal ranges with each assay is recommended
Principle
for monitoring the performance of the procedure. Each laboratory should establish
Indirect bilirubin is liberated by the detergent. Total bilirubin is coupled with the 3,5-
corrective measures to be taken if values fall outside the limits.
dichlorophenyl-diazonium-tetrafluoroborate
azobilirubin. The absorbance of this dye at 546 nm is directly proportional to the total
PERFORMANCES DATA
The following data were obtained using Cobas Mira Plus analyzer
Reference value
Linearity
The test is linear up to 670 µmol/l (39 mg/dl)
It is recommended that each laboratory should assign its own normal range.
Sensitivity Reagents
It is recommended that each laboratory establishes its own range of sensitivity as this is
limited by the sensitivity of the spectrophotometer used. Under manual condition the
change of 0,001 absorbance is equivalent to 2 µmol/l (0,1 mg/dl) bilirubin concentration
Precision Reproducibility Safety instructions: Repeatability Reagent 1:
S26 In case of contact with eyes, rinse immediately with plenty of water and
Correlation Reagent 2:
Comperative studies were done to compare our reagent with another commercial bilirubin
S26 In case of contact with eyes, rinse immediately with plenty of water and
Linear regression: y=0,975x+3,4 (x=other commercial reagent, y=own reagent)
Serum free of haemolysis or EDTA, citrate plasma. Heparin plasma not recommended.
Specificity Bilirubin in serum is light sensitive and it is recommended that serum be stored in the
Ascorbic acid 2,5 mg/dl, hemoglobin 60 mg/dl don’t interfere with the assay up to the
Procedure Avoid direct exposure to light!
Do not use reagents after the expiry date stated on each reagent container label. Do not use
products, test solution and reagents described above for any purpose other than descsribed
Assay Conditions For in vitro diagnostic use only! Pipette into cuvette Calibrator Reagent 1 Calibrator
Mix and incubate for 3 minutes, read the absorbance (A1).
Calibrator Bibliography Reagent 2 Tietz N.W., Clinical guide to laboratory tests, Saunders Co. Thomas L., Clinical Laboratory Diagnostics, TH-Books (1998)
Mix and incubate for 5 minutes, read absorbance (A2).∆A=A2-A1
Calibration: (37°C, DPD) S1:Distilled water S2: Diagnosticum DunaCal or Roche C.F.A.S. (Calibrator for automated system) Calibration is recommended: - after reagent lot change, - as required following quality control procedures. Calculation using calibration
A = Absorbance, C = Concentration
1. General Information Surname: Haghdoost Forename: AliAkbar Title: MD-PhD. Academic position: Associate Professor in Kerman University of Medical Sciences Honorary senior Lecturer in London School of Hygiene and Tropical Medicine Sex: Male Date of Birth: 01/09/1971 Place of Birth: Kerman, Iran Marital Status: Married Children: One daughter, One son Iranian Medical Council Registration No: 66136 2
Blackwell Science, LtdOxford, UKPCNPsychiatric and Clinical Neurosciences1323-13162003 Blackwell Science Pty Ltd571February 20031075Cenesthopathy in adolescenceH. Watanabe et al. 10.1046/j.1323-1316.2002.01075.x Psychiatry and Clinical Neurosciences (2003), 57 , 23–30 Regular Article Cenesthopathy in adolescence MD, MAMI SUWA, MD AND KAORUKO AKAHORI, MD1 Department of Psychosomatic Medi