The impact of hemolysis on Ortho-Clinical Diagnostic's ECi and Roche's elecsys immunoassay systems.
BACKGROUND
Hemolysis is regularly encountered in clinical specimens and often interferes with a variety of laboratory test methods. Although not widely recognized, immunoassays based on nonisotopic detection systems can also be affected by hemolysis. For this reason, we investigated the effect of differing amounts of hemolysis across a range of values for several immunoassays on the Ortho-Clinical Diagnostics ECi and Roche Elecsys platforms.


METHODS
Hemolysate was prepared from whole blood and spiked at varying concentrations into pooled patient serum samples for different analytes.


RESULTS
Out of the 21 analytes tested, six (28.6%) exhibited significant increases or decreases in measured concentrations with increasing amounts of hemolysis.


CONCLUSIONS
Although immunoassays are generally thought to be impervious to hemolysis interference, hemolysis can interfere in immunoassay testing platforms. For these reasons, we recommend that laboratories conduct hemolysis interference studies for all laboratory test protocols.
Snyder
J A
JA
Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC, USA.
Rogers
M W
MW
King
M S
MS
Phillips
J C
JC
Chapman
J F
JF
Hammett-Stabler
C A
CA
D001800:Blood Specimen Collection; D006461:Hemolysis; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D007118:Immunoassay / Q000379:methods*; D017430:Prostate-Specific Antigen / Q000097:blood; D011933:Reagent Kits, Diagnostic; D013739:Testosterone / Q000097:blood; D019210:Troponin I / Q000097:blood; D020107:Troponin T / Q000097:blood; D014805:Vitamin B 12 / Q000097:blood
D011933:Reagent Kits, Diagnostic; D019210:Troponin I; D020107:Troponin T; D013739:Testosterone; D017430:Prostate-Specific Antigen; D014805:Vitamin B 12; D006854:Hydrocortisone