Case report: Skin protective barrier cream interference in benzethonium chloride method for urine protein measurement in a 6-month-old girl

Author:

Özcan Ömer12ORCID,van Wijk Joanna AE3,Bosch Annet M245,den Elzen Wendy PJ167,Heijboer Annemieke C1248,Fischer Johan C17ORCID

Affiliation:

1. Department of Laboratory Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

2. Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands

3. Division of Pediatric Nephrology, Department of Pediatrics, Emma Children's Hospital, Amsterdam University Medical Centre, Amsterdam, The Netherlands

4. Amsterdam Reproduction & Development Research Institute, Amsterdam, The Netherlands

5. Division of Metabolic Diseases, Department of Pediatrics, Amsterdam UMC Location University of Amsterdam, Emma Children's Hospital, Amsterdam, The Netherlands

6. Amsterdam Public Health Research Institute, Amsterdam, Netherlands

7. Department of Laboratory Medicine, Laboratory Specialized Diagnostics & Research, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands

8. Department of Laboratory Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands

Abstract

This case report describes the positive interference of the commonly used skin protective barrier cream used together with urine collection bags on the benzethonium chloride method for urine protein measurements in a 6-month-old female baby, leading to falsely elevated results. The interference was identified by both artificially mixing urine samples with this cream and comparing the results obtained using the benzethonium chloride method with those obtained using the pyrogallol red method.

Publisher

SAGE Publications

Subject

Clinical Biochemistry,General Medicine

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