Table 1 Emergency laboratory test items and corresponding detection instruments and reagents
From: Comprehensive improvements in the emergency laboratory test process based on information technology
Item Name | Sub-item | Instrument and Reagent | |
|---|---|---|---|
Before optimisation | After optimisation | ||
Routine blood test + CRP (1 or 2 items) | Routine blood test | Sysmex XN-B4 (Sysmex, Japan) | Automatic Blood Cell Analyzer BC-7500CRP (Shenzhen Mindray Bio-Medical Electronics Co., Ltd.) |
CRP | Immune Analyzer Jet-iStar3000 (Joinstar Biomedical Technology Co., Ltd.) | ||
Routine urine test | Routine urine test | GEB-600 Urine Chemistry Analyzer (Guangzhou Huadu Gaoerbao Biotechnology Co., Ltd.) | Sysmex Urine Analysis Modular Assembly Line (Sysmex, Japan) |
Routine faecal test | Routine faecal test | Semi-quantitative pyramidon method (Zhuhai Baso Diagnostics Inc.) | Semi-quantitative pyramidon method (Zhuhai Baso Diagnostics Inc.) |
Respiratory influenza virus antigen (1 to 5 items) | Influenza A virus, influenza B virus, respiratory syncytial virus, adenovirus, and mycoplasma pneumoniae | Hangzhou Genesis Biodetection & Biocontrol Co., Ltd. | Hangzhou Genesis Biodetection & Biocontrol Co., Ltd. |
Novel coronavirus antibody | Novel coronavirus IgM/IgG antibody | Nanjing Vazyme Biotech Co., Ltd. | Nanjing Vazyme Biotech Co., Ltd. |
Urine pregnancy test | Urine pregnancy test | Blue Cross Bio-Medical (Beijing) Co., Ltd. | Blue Cross Bio-Medical (Beijing) Co., Ltd. |
ABO + Rh blood group identification | ABO blood group identification | Shanghai Hemo Pharmaceutical & Biomedical Co., Ltd | Hamilton Automatic Blood Grouping Instrument (Hamilton, Switzerland) |
RhD blood group identification | Jiangsu Libo Medicine Biotechnology Co., Ltd. | ||
Blood gas analysis | Blood gas analysis | ABL90 FLEX Blood Gas Analyzer (Radiometer, Denmark) | ABL90 FLEX Blood Gas Analyzer (Radiometer, Denmark) |
Electrolyte test | Electrolytes (Na+, Cl−, and K+) | Electrolyte Analyzer XD 690I (Shanghai Xunda Medical Instrument Co., Ltd.) | Automatic Biochemical Analyzer DxC 700 AU (Beckman Coulter, USA) |
Biochemical test | Liver function (ALT and AST), renal function (urea and creatinine), myocardial zymogram (AST, lactate dehydrogenase, creatine kinase, and creatine kinase isoenzyme), blood glucose, amylase, and cholinesterase | Accute TBX-40FR (Tosoh Bioscience Shanghai Co., Ltd.) | |
Biochemical test (new) | Total bilirubin, direct bilirubin, indirect bilirubin, total protein, and albumin globulin | Not performed | |
Immune test (1 or 2 items) | TnI and β-HCG | Automatic Immune Analyzer AIA-360 (Tosoh Bioscience Shanghai Co., Ltd.) | Anility i Automatic Chemiluminescence Immunoassay Analyzer (Abbot, USA) |
Four-item pre-surgery test | HIV antigen and antibody, treponema pallidum antibody, hepatitis C antibody, hepatitis B virus surface antigen, hepatitis B virus surface antibody, hepatitis B virus e antigen, hepatitis B virus e antibody, and hepatitis B virus core antibody | Not performed | |
BNP test | BNP | Not performed | |
HIV antibody test | Human immunodeficiency virus (HIV1 + 2) antibody | Beijing Wantai Biological Pharmacy | Beijing Wantai Biological Pharmacy |
Coagulation function (1 to 5 items) | Coagulation function (PT, APTT, FIB, TT, and D-dimer) | Sysmex CA-1500 (Sysmex, Japan) | Sysmex CS-2000i (Sysmex, Japan) |