Flow cytometry reticulocyte counting using acridine orange: validation of a new protocol

Introduction: Currently, the reticulocyte counting is a challenge for clinical laboratories in Brazil, mainly for the ordinary ones, which still use the manual method. This method has some limitations, since it consists of a laborious method, time consuming, with low accuracy. Objectives: This study...

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Detalles Bibliográficos
Autores: Viana,Karina Augusta, Carvalho,Maria das Graças, Dusse,Luci Maria Sant'Ana, Fernandes,Aline Caldeira, Avelar,Renato Sathler, Avelar,Danielle Marquete Vitelli, Carvalho,Beatriz, Ribeiro,Claudia Maria Franco, Antonelli,Lis Ribeiro do Valle, Teixeira,Andrea, Martins Filho,Olindo Assis
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Institución:Sociedade Brasileira de Patologia (SBP)
Repositorio:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
Idioma:inglés
OAI Identifier:oai:scielo:S1676-24442014000300189
Acceso en línea:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000300189
Access Level:acceso abierto
Palabra clave:reticulocyte counting methods
flow cytometry
acridine orange
manual reticulocyte count
Descripción
Sumario:Introduction: Currently, the reticulocyte counting is a challenge for clinical laboratories in Brazil, mainly for the ordinary ones, which still use the manual method. This method has some limitations, since it consists of a laborious method, time consuming, with low accuracy. Objectives: This study has developed and evaluated the performance of a New Laboratory Protocol for flow cytometry (FC) reticulocytes counting using acridine orange (AO) as dye, aiming to standardize a more precise, easy, fast implementation, and low cost protocol. After standardization of the New Protocol (FC/AO), it was compared with the manual method. The results were analyzed according to the recommendations of the National Committee for Clinical Laboratory Standards (NCCLS), now known as Clinical and Laboratory Standards Institute (CLSI), to evaluate the interchangeability of methods in linear regression analysis and paired t test, besides other quality control tests. Conclusion: Based on these results concerning to the correlation between the methods and the tests related to quality control, we can admit that FC/AO for reticulocyte counting shows undeniable advantages when compared to the preexisting manual method.