title: [Evaluation of the measurement of capillary glucose concentration versus plasma glucose in the newborn].
abstract: BACKGROUND
  The reliability of blood glucose monitoring in neonatology is not always confirmed. The aim of this study was to evaluate the reliability of blood glucose measurements made with three different devices in newborns.
  
  
  METHODS
  The study was prospective, conducted in a medical and neonatal intensive care department over a period of 4 months. Capillary glucose level was measured with three different glucometers and compared with venous glucose level determined using the hexokinase method. An ANOVA and Scheffe test were used for the correlation analysis.
  
  
  RESULTS
  Three hundred and nine infants were included, with a mean age of 55h and a mean term of 39 weeks of gestation. Mean blood glucose in the laboratory was 0.62±0.15g/L, 0.71±0.17g/L for Accu-Chek(®) Active, 0.80±0.17g/L for Accu-Chek(®) Performa, and 0.83±0.12g/L for Bionime. An ANOVA showed statistically significant differences between the measurements made by glucometers compared to the reference blood glucose levels, and the Scheffé method showed that glucometers overestimated the real plasma glucose levels.
  
  
  CONCLUSIONS
  None of the devices used in this study was satisfactory. However, an estimation of blood glucose taking into consideration this numerical overestimation would allow early detection of hypoglycemia.
authors.affiliation: Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie; CHU Fattouma Bourguiba, Monastir, faculté de médecine de Monastir, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie. Electronic address: karim_bam@yahoo.fr.
authors.forename: K
authors.initials: K
authors.lastname: Ben Ameur
authors.affiliation: Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie; CHU Fattouma Bourguiba, Monastir, faculté de médecine de Monastir, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: F Z
authors.initials: FZ
authors.lastname: Chioukh
authors.affiliation: Service de médecine préventive et d'épidémiologie, centre de maternité et de néonatologie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie; CHU Fattouma Bourguiba, Monastir, faculté de médecine de Monastir, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: I
authors.initials: I
authors.lastname: Bouanene
authors.affiliation: Laboratoire de biologie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: E S
authors.initials: ES
authors.lastname: Ghedira
authors.affiliation: Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie; CHU Fattouma Bourguiba, Monastir, faculté de médecine de Monastir, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Ben Hamida
authors.affiliation: Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Bizid
authors.affiliation: Service de médecine préventive et d'épidémiologie, centre de maternité et de néonatologie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie; CHU Fattouma Bourguiba, Monastir, faculté de médecine de Monastir, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Ben Salem
authors.affiliation: Service de pharmacie hospitalière, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: R
authors.initials: R
authors.lastname: Tabka
authors.affiliation: Laboratoire de biologie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Babba
authors.affiliation: Service de réanimation et de médecine néonatale, centre de maternité et de néonatalogie, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie; CHU Fattouma Bourguiba, Monastir, faculté de médecine de Monastir, EPS Fattouma Bourguiba, 5000 Monastir, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Monastiri
mesh_terms: D001774:Blood Chemical Analysis / Q000295:instrumentation*; D001786:Blood Glucose / Q000032:analysis*; D002196:Capillaries; D006801:Humans; D007231:Infant, Newborn; D019095:Point-of-Care Systems; D011446:Prospective Studies
chemical_list: D001786:Blood Glucose