Urea, clinical diagnostics

The objective is to describe a new non-enzymatic urea sensor based on catalytic chemical reaction. The sensor consists of screen-printed transducer (IVA, Ekaterinburg, Russia) and catalytic system which is immobilized on the transducer surface as a mixture with carbon ink. The sensor is used for measuring concentration of urea in blood serum, dialysis liquid. Detection limit is 0.007 mM, while the correlation coefficient is 0.99. Some analysis data of serum samples using the proposed sensor and urease-containing sensor (Vitros BUN/UREA Slide, Johnson Johnson Clinical Diagnostics, Inc.) are presented. 

Analyzer IVA-5 (Russia, Ekaterinburg), pAUTOLAB potentiostat (Eco Chemie BV, the Netherlands), and Vitros Bun/Urea Slide (Johnson Johnson Clinical Diagnostics, Inc.) were used. 

Clinical/diagnostics For clinical diagnostics, a lot of sensors have been developed for medical diagnosis of various analytes in blood samples like glucose, cholesterol, urea, lactate, uric acid, creatinine, both qualitatively and quantitatively. To detect... 

In the majority of cases, a UCD can be distinguished from other inborn errors of metabolism by routinely available clinical chemistry tests such as blood gases, acid/base balance, plasma glucose, ammonium, or lactate. Urea production, and hence serum urea nitrogen, is decreased in UCDs. Respiratory alkalosis has few causes and is an important diagnostic clue of hyperammonemia that should trigger measurement of plasma ammonium. 

Other biosensor-based diagnostic instruments, such as the enzyme-electrode-based analyzers of YSI for glucose and lactate, are utilized routinely in many clinical laboratories. i-Stat recently introduced a portable analyzer for bedside use which utilizes enzyme-electrode-based assays for glucose and urea, as well as chemical sensor tests for nitrogen, sodium, potassium, and chloride. 

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