Monday, January 9, 2017

REFERENCE VALUES MODIFICATION

We inform you as of tomorrow 9th January  2017, the reference values of the following tests have been modified.


TEST CODE
NAME OF TEST
PREVIOUS REFERENCE VALUES
ACTUAL REFERENCE VALUES
163
17-BETA ESTRADIOL, SERUM
Children:                   Less than 30 pg/mL
Male:                         Less than 55 pg/mL 
Female,                                                                                     Follicular phase:    30 - 200     pg/mL
                  Ovulatory peak:    100 - 450    pg/mL
                  Luteinic phase:      50 - 250     pg/mL
                  Pregnant:               500 - 26600  pg/mL
                  Menopause:         Less than 55 pg/mL
  Follicular phase: 20-150 pg/mL
  Late follicular phase: 40-350 pg/mL
  Ovulatory peak: 150-750 pg/mL
  Luteinic phase: 30-450pg/mL
  Postmenopause: <21 pg/mL
  Men: 10-50 pg/mL
  Children (1-12 años):5-30 pg/mL
  Boys (12-17): 5-45 pg/mL                             
  Girls (12-17): 24-410 pg/mL
106
ADRENOCORTICOTROPHIC HORMONE (ACTH), PLASMA
Morning:      14 - 64 pg/mL
Evening: Less than 30 pg/mL
Less than 46 pg/mL
2119
ALBUMIN , SERUM
Adults:              35-52 g/L
Neonates (0-4 days): 28-44 g/L
* CALIBRATOR ATTRIBUTABLE TO REFERENCE STANDARD IFCC CRM 470.
Adults:              35-52 g/L
476
ALKALINE PHOSPHATASE, SERUM
Adults: 30-120 U/L
1-30 days     :
Men  75-316 U/L - women  48-406 U/L
30 days-1 year:
Men  82-383 U/L - women 124-341 U/L
1-3 years     :
Men 104-345 U/L - women 108-317 U/L
4-6 years     :
Men  93-309 U/L - women  96-297 U/L
7-9 years     :
Men  86-315 U/L - women  69-325 U/L
10-12 years   :
Men  42-362 U/L - women  51-332 U/L
13-15 years   :
Men  74-390 U/L - women  50-162 U/L
16-18 years   :
Men  52-171 U/L - women  47-119 U/L
0-365 days:
Men: 76-383 U / L; Women: 48-406 U / L
1-10 years:
Men: 86-345 U / L; Women: 69-325 U / L
10-13 years:
Men: 42-362 U / L; Women: 51-332 U / L
13-15 years:
Men: 74-390 U / L; Women: 50-162 U / L
15-18 years:
Men: 52-171 U / L; Women: 47-119 U / L
Over 18 years:
 Men: 30-120 U / L; Women: 30-120 U / L
109
ALPHA-L-FETOPROTEIN (AFP)
Adults   :  Less than  5.72 ng/mL
Pregnancy:
15 weeks :  14.2 - 38       ng/mL
16 Weeks :  13.6 - 52.8     ng/mL
17 Weeks :  13  - 72.3      ng/mL
18 Weeks :  8.3 - 74.3      ng/mL
19 Weeks :  23.3 -97.7      ng/mL
20 Weeks :  30.8 -93.8      ng/mL
21 Weeks :  15.5 -127       ng/mL

*For the evaluation of Neuronal Tube Defect Risk, the limit must increased at least 1.5 the values  indicated on the table.
*For the evaluation of Neuronal Tube Defect Risk, the inferiors  the inferiors limits indicated on the table  of pregnancy must considered
< 10 ng/ml
112
AMYLASE TOTAL (ALPHA AMYLASE), URINE
Men: Less or equal tan 490 U/L
Women: Less or equal than 450 U/L
Less than 550 U/L
4268
BETA 2-MICROGLOBULIN, URINE
Less than 370  µg/24 H
30- 370  µg/24 H
1926
BICARBONATE, SERUM
Neonates           : 17 - 24 mmol/L
Infants            : 19 - 24 mmol/L
2 months to 2 years: 16 - 24 mmol/L
Adults             : 21 - 31 mmol/L
21 - 31 mEq/L
762
CA 125 (TUMOR MARKER), SERUM
Less than 21 U/mL
Less than 35 UI/mL
863
CA 19-9 (TUMOR MARKER), SERUM
Less than 33 U/mL
Less than 37 U/mL
304
CALCITONIN, SERUM
Men: Less than 11.8 pg/mL
Women:  Less than 4.8 pg/mL
Men: Less than 8.4 pg/mL
Women:  Less than 5 pg/mL
302
CALCIUM TOTAL, URINE
Normal diet (medium)    : 100 - 200     mg/24H
Diet low in calcium     : Less than 150 mg/24H
Diet rich in calcium    : 240 - 300     mg/24H
100-240 mg/24h
301
CALCIUM, SERUM
Children:
0-10 days        : 7.6 - 10.4 mg/dL
10 days-24 months:   9 - 11.0 mg/dL
2-12 years       : 8.8 - 10.8 mg/dL
Adults           : 8.8 - 10.6 mg/dL
8.6-10.2 mg/dL
307
CARBAMAZEPINE, SERUM
Therapeutic level:       4 - 12 µg/mL
Toxic levels:  Greather than 15 µg/mL  
 4-10 μg/ml
127
CARCINOEMBRYONIC ANTIGEN - CEA, SERUM
Non smokers: 0 - 5    ng/mL
Smokers    : Up to 10 ng/mL
Less than 5 ng/mL
2926
CHORIONIC GONADOTROPHINS (FREE BETA HCG), SERUM
Male :  Less than 0.3 ng/mL
Female:
Not pregnant:  Less than 0.3 ng/mL
Pregnancy:                
                            Media
 
8  Weeks                   87.49 ng/mL
9  Weeks                   81.84 ng/mL
10 Weeks                   67.17 ng/mL
11 Weeks                   51.95 ng/mL
12 Weeks                   40.49 ng/mL
13 Weeks                   34.19 ng/mL
14 Weeks                   23.52 ng/mL
15 Weeks                   18.80 ng/mL
16 Weeks                   18.33 ng/mL
17 Weeks                   11.02 ng/mL
18 Weeks                   09.19 ng/mL
19 Weeks                   05.21 ng/mL
 
Men and non pregnant women: <5 mUI/mL
Pregnant women: 4 weeks: 5-100 mUI/mL
5 weeks: 200-3.000 mUI/mL
6 weeks: 10.000-80.000 mUI/mL
7-14 weeks: 90.000-500.000 mUI/mL
15-26  weeks: 5.000-80.000 mUI/mL
27-40 weeks: 3.000-15.000 mUI/mL
159
CORTISOL, SERUM
Ext.morning (8H)  : 5 - 25 µg/dL
Ext.evening (18H) : 2 - 13 µg/dL
Ext.morning (8H)  : 5 - 23 µg/dL
215
C-PEPTIDE, SERUM
0.8-4 ng/ mL
1.1-4.4 ng/mL
324
CREATININE- SERUM
0.6-1.4 mg/dL
Men 18-60 years: 0.9-1.3 mg / dL
Women 18-60 years: 0.6-1.1 mg / dL
Men older than 60 years: 0.8-1.3 mg / dL
Women older than 60 years: 0.6-1.2 mg / dL
Children: 0.3-0.7 mg / dL
Adolescents: 0.5-1 mg / dL
325
CREATININE, URINE
Male  :  1500 - 2500 mg/24H
Female:  800 -  1500 mg/24H
Male  :  1000 - 2000 mg/24H
Female:  800 -  1800 mg/24H
161,  4563, 4564, 4565, 4566, 4567, 4568 4569, 4570, 4571
DEHYDROEPIANDROSTENEDIONE SULFATE (DHEAS), SERUM
MEN:   0.8 - 5.6 µg/mL
WOMEN: 0.35 - 4.3 µg/mL
Men: 2.17-15.2 µmol/L
Womens: 0.92-11.67 µmol/L
162
DIGOXIN, SERUM
THERAPEUTIC LEVEL: 0.8 - 2.2        ng/mL
TOXIC LEVEL      : Greater than 2.4 ng/mL
 0.8 - 2.0  ng/mL
4343
FACTOR XA (ANTI ACTIVATED), PLASMA
0,5-1,2 UI/mL
0.5-1.0 U/mL
167
FERRITIN, SERUM
Men: 20-250 ng/mL
Women: 10-120 ng/mL
Men                : 20-250 ng/mL
Women              : 10-120 ng/mL
Children:
Up to 1 month      : 6-400 ng/mL
From 1 to 6 months : 6-410 ng/mL
From 6-12 months   : 6-80 ng/mL
From 1 to 5 years  : 6-60 ng/mL
From 6 to 19 years : 6-320 ng/mL
* Calibrator attributable to the 3rd International Standard of ferritin, biotechnology code
NIBSC (National Institute for Biological Standards and Control): 94/572.
Men: 20-250 ng/mL
Women: 10-120 ng/mL
168
FIBRINOGEN, PLASMA
180-240 mg/dL
200-400 mg/L
169
FOLLICLE HORMONE (FSH), SERUM
MEN: 0.7 - 11.1 mUI/mL
WOMEN:
  Follicular phase: 2.8  - 11.3 mUI/mL
  Follicular phase days 2 and 3: 3.0 - 14 mUI/mL
  Average cycle: 5.8 - 21 mUI/mL
  Luteinic phase : 1.2 - 9.0 mUI/mL
  Postmenopausicas: 21.7 - 153 mUI/mL
  Oral contraceptive: Less than 4.9 mUI/mL
PEDIATRIC:
BOYS:
  Cordon: Less than  1.2 mUI/mL
Follicular phase: 1.4-9.9 UI/L
Ovulatroy peak: 0.2-17.2 UI/L
Luteinic phase: 1.9-9.2 UI/L
Postmenopause: 19.3-100.6 UI/L
Men: 1.4-15.4 UI/L
358
HAEMOGLOBIN A1C, WHOLE BLOOD
4.7 - 6.4 %
28 - 46 mmol/mol
Less than 48 mmol/mol
Prediabetes: 39 - 46  mmol/mol
117
HEPATITIS B IGM CORE ANTIBODIES, SERUM
Not detected
Not detected: Less than 0.8
Undetermined:  0.8-1.0
Positive: Greater than 1.0
786
HEPATITIS B SURFACE ANTIBODY (HBS-AB), SERUM
Active immunization: Greater than 10 mIU/mL
Negative: Less than 10 mIU/mL.L
Active immunization: Greater or equal than 10 mIU/mL
2140
HOMOCYSTEINE , PLASMA
Normal                        :    < 15.0   µmol/L
Risk Vascular Disease         :    > 15.0   µmol/L
Vitamin Deficiency            : 15.0 - 30   µmol/L
After Methionine, Heterozygote: 30   - 100  µmol/L
                  Homozygote  :    > 100    µmol/L
Younger than 15 years: Less than 10 μmol / L
15-65 years: Less than 15
μmol / L
Older than 65 years: Less than 20
μmol / L
193
IMMUNOGLOBULIN - E (IGE) , SERUM
Newborns    : 0 - 1.5 IU/mL
1 year      : 0 - 15  IU/mL
1 - 5 years : 0 - 60  IU/mL
6 - 9 years : 0 - 90  IU/mL
10 -15 years: 0 - 200 IU/mL
Adults      : 0 - 100 IU/mL


* CALIBRATION WITH REFERENCE STANDARD
  IRP 75/502
Adults: Lees than 160 UI/mL
194
IMMUNOGLOBULIN - G (IGG) , SERUM
Newborns       : 660-1750 mg/dL
1- 3 Months    : 200-1050 mg/dL
3- 6 Months    : 220-690  mg/dL
6-12 Months    : 260-950  mg/dL
1-4  years     : 360-1340 mg/dL
4-8  years     : 540-1500 mg/dL
8-12  years    : 630-1550 mg/dL
12-16 years    : 670-1560 mg/dL
16-18 years    : 720-1550 mg/dL
Adults         : 700-1600 mg/dL
*Proteins in Clinical and Laboratory Medicine, Lothar Thomas MD, English Edition 2008 (Siemens).
* CALIBRATOR ATTRIBUTABLE TO REFERENCE STANDARD IFCC CRM 470.
0-1 years: 313-1170   mg/dL                                 
2-4 years: 295-1156   mg/dL
5 - 10 years: 386-1682  mg/dL
11-16 years: 503-1719  mg/dL
17-18 years : 487-1327  mg/dL
>18 years: 767-1590  mg/dL
195
IMMUNOGLOBULIN - M (IGM) , SERUM
Newborns       : 6 - 21 mg/dL
3-6 months     : 17-100 mg/dL
6-9 months     : 26-130 mg/dL
9-12 months    : males 33-140 mg/dL - female 33-150 mg/dL
1-2  years     : males 37-160 mg/dL - female 40-180 mg/dL
2-4  years     : males 41-160 mg/dL - female 47-190 mg/dL
4-8  years     : males 43-180 mg/dL - female 52-220 mg/dL
8-12 years     : males 47-180 mg/dL - female 60-240 mg/dL
12-16 years    : males 49-190 mg/dL - female 65-260 mg/dL
16-18 years    : males 50-190 mg/dL - female 68-260 mg/dL
Adults         : males 40-230 mg/dL - female 40-280 mg/dL
*Proteins in Clinical and Laboratory Medicine, Lothar Thomas MD, English Edition 2008 (Siemens).
* CALIBRATOR ATTRIBUTABLE TO REFERENCE STANDARD IFCC CRM 470.
0-1 years: 46-152  mg/dL                                
2-4 years: 37-184  mg/dL 
 5 - 10 years: 37-251 mg/dL
11-16 years: 41-244 mg/dL
17-18 years : 49-201 mg/dL
>18 years: 37-286 mg/dL
190
IMMUNOGLOBULIN -A (IGA) , SERUM
Newborns     :  1-6   mg/dL
3-6 months   : 10-60  mg/dL
6-9 months   :  8-80  mg/dL
9-12 months  : 11-90  mg/dL
1-2  years   : 14-150 mg/dL
2-4  years   : 21-190 mg/dL
4-8  years   : 30-250 mg/dL
8-12 years   : 46-290 mg/dL
12-16 years  : 58-310 mg/dL
16-18 years  : 67-320 mg/dL
*Adults      : 70-400 mg/dL
Proteins in Clinical and Laboratory Medicine, Lothar Thomas MD, English Edition 2008 (Siemens).
0-1 years: 36-79  mg/dL                               
2-4 years: 27-246  mg/dL  
5 a 10 años: 34-274 mg/dL
11-16  years: 52-319 mg/dL
17-18  years : 60-337 mg/dL
>18  years: 61-356 mg/dL
196
IMMUNOGLOBULINS G,A,M , SERUM
   IgG(mg/dL)  IgA(mg/dL)  IgM(mg/dL)
Newborns       : 600-1350     7- 22      4- 70
1- 3 Months    : 290- 870     10- 40     20- 90
3- 6 Months    : 230- 450     10- 65     30-100
6-12 Months    : 230- 650     20- 90     30-140
1- 3 years     : 330- 900     20-130     45-155
3- 5 years     : 480-1030     35-145     50-155
5- 9 years     : 540-1160     40-160     50-160
9-12 years     : 620-1230     45-175     50-165
12-15 years    : 650-1240     50-205     40-165
Adults:        : 700-1600     70-400     40-230
* CALIBRATION WITH REFERENCE STANDARD
  IFCC/BCR/CAP-CRM 470
IgG:
0-1 years: 313-1170   mg/dL                                 
2-4 years: 295-1156   mg/dL  
5 - 10 years: 386-1682  mg/dL
11-16 years: 503-1719  mg/dL
17-18 years : 487-1327  mg/dL
>18 years: 767-1590  mg/dL

IgA:
0-1 years: 36-79  mg/dL                               
2-4 years: 27-246  mg/dL  
5 a 10 años: 34-274 mg/dL
11-16  years: 52-319 mg/dL
17-18  years : 60-337 mg/dL
>18  years: 61-356 mg/dL

IgM:
0-1 years: 46-152  mg/dL                                
2-4 years: 37-184  mg/dL  
5 - 10 years: 37-251 mg/dL
11-16 years: 41-244 mg/dL
17-18 years : 49-201 mg/dL
>18 years: 37-286 mg/dL
197
INSULIN, SERUM
5-25 μU/ml
2-25 μU/ml
186
IRON, SERUM
Neonates : 100 - 250 µg/dL
Babies   :  40 - 100 µg/dL
Children :  50 - 120 µg/dL
Man      :  70 - 180 µg/dL
Woman    :  60 - 180 µg/dL
60-150 µg/dL
371
LACTATE DEHYDROGENASE (LDH), SERUM
230- 460 U/L (37ºC)
208-378 U/L
202
LIPASE, SERUM
Children under 1 year:   <8 U / L
From 1-9 years       : 5-31 U / L
From 10 to 18 years  : 7-35 U / L
Adults               :  <67 U / L
Less than 67 U/L
199
LUTEINIZING HORMONE (LH), SERUM
MEN: 0.8 - 7.6 mUI/mL
WOMEN:
  Follicular phase: 1.1  - 11.6 mUI/mL 
  Average cycle: 17 - 77 mUI/mL
  Luteinic phase: Less than 14.7 mUI/mL
  Perimenstrual: Less than 12.0 mUI/mL
  Postmenopausicas: 11.3 -39.8 mUI/mL
  Oral contraceptive: Less than 8.0 mUI/mL
PEDIATRIC:
BOYS:
  Cordon: Less than 3.6 mUI/mL
  Less than 1.5 years: Less than 4.1 mUI/mL
  1.6-9 years: Less than 3.8 mUI/mL
GIRLS:
  Cordon: Less than 0.1 mUI/mL
  Less than 1.5 years: Less than 2.3 mUI/mL
  1.6 - 9 years: Less than 1.3 mUI/mL
         
Follicular phase: 1.7-15 UI/L
Ovulatory peak: 21.9-56.6 UI/L
 Luteinic phase: 0.6-16.3 UI/L
 Postmenopause: 14.2-52.3 UI/L
 Men: 1.2-7.8 UI/L
207
MAGNESIUM, URINE
60-75 mg/24 h
73-122 mg/24 h
872
MICROALBUMINE, URINE
Isolated urine     : Up to  3  mg/dL
Urine 24 hours : Up to 16 µg/minuto

  * CALIBRATION WITH REFERENCE STANDARD
    IFCC/BCR/CAP-CRM 470
Less than 30 mg/24 h
387
MYOGLOBIN, SERUM
Until 70 ng/mL
inferior a 36.4 ng/mL
1019
PARATHYRID HORMONE INTACT (PTH), SERUM
10-73 pg/mL
10-65 pg/mL
439
PHOSPHORUS, URINE
0,3-1,0 g/24h
400-1300 mg/24h
2780
PLASMINOGEN ACTIVITY, PLASMA
70-140%
75-140%
219
POTASSIUM, SERUM
3.6 - 5.5 mEq/L
3.5 - 5.1 mmol/L
222
PROGESTERONE, SERUM
 Children: < 1 year:                     0.1 - 17   ng/mL
                 1 - 9 years:                0.1 - 1.3  ng/mL
 Female:   Follicular phase:      0.1 - 1.5  ng/mL
                 Luteinic phase:         2.5 -28.1  ng/mL
                 Menopause:             0.1 - 1.0  ng/mL
   Oral Anticonceptivs:            0.3 - 0.9  ng/mL
   Pregnant  1er Trimonthter:    9.3 - 33.2 ng/mL
                     2nd Trimonthter:        29.5 -50.0 ng/mL
                     3rd Trimonthter : 83.1 - 160 ng/mL
 Male:                                          0.27 -0.90 ng/mL
Normal women:
Follicular phase:<0.89 µg/L 
Ovulatory peak <12 µg/L
Luteinic phase: 1.84-24 µg/L
Prepubertal children: <0.35 µg/L
Postmenopause: <0.2 µg/L
Men: <0.2 µg/L
223, 4644, 4645,4646, 4647, 4648, 4649, 4650, 4651, 4652
PROLACTIN, SERUM
  MEN: 2.5- 17 ng/ml
WOMEN: 1.9- 25 ng/ml
PEDIATRIC:
 Cordon: 160-665 ng/ml
 Less than 0.5 years: 2-125 ng/ml
 0.6-9 years: 1-40 ng/ml
Men     : 3.0 -  14.7 µg/L
Women     : 3.8  - 23 µg/L
850
PROTEIN TOTAL , SERUM
66 - 83 g/L
64 - 83 g/L
319 
PROTEIN TOTAL , URINE
Spot urine : Less than 10  mg/dL
Urine 24 H :  10  -   150 mg/24H
Less than  150 mg/24 h
407
PSA (PROSTATE SPECIFIC ANTIGEN), SERUM
Less than 3 ng/mL
Less than 4 ng/mL
230
RUBELLA IGG ANTIBODIES, SERUM
NEGATIVE      :  Less than  5.0 IU/mL
GREY ZONE     :  5.0   -   10 IU/mL
POSITIVE      :  Greater than 10.0 IU/mL
      
* In absence of positive IgM, the 3 levels of positivity
  of IgG are indicators of active immunity.
* To descard active infection is recommended to do
Rubella-IgM. Or seroconversion for IgG Rubella antibody
after 2-3 weeks of first sample. Increasing of the  
index 2 or more times indicates active infection.
Non-immune: Less than 5.0 IU / mL
Undetermined: 5.0 - 9.99 IU / mL
Immunity weak: 10 - 15 IU / mL
Immune: Greater than 15 IU / mL
547
SEX HORMONE BINDING GLOBULIN (SHBG), SERUM
Childs  : 40 - 90  nmol/L
Male    : 10 - 50  nmol/L
Female  : 25 - 90  nmol/L
Pregnant: 250 -500 nmol/L
Men: 10-57 nmol/L
Women:  18-144 nmol/L
235
SODIUM, SERUM
133 - 155 mEq/L
136 - 146 mmol/L
236
SODIUM, URINE
30-260 mEq/24h
40-220 mmol/24h
711
T3 FREE, SERUM
1.8-4.2 pg/mL
2.1-4.4 ng/L
238
T3 TOTAL (TRIIODOTHYRONINE), SERUM
60-181 ng/dL
Children 1-20 years: 0.8-2.1 µg/L
Adults 21-50 years: 0.7-2 µg/L
Adults 51-90 years: 0.4-1.8 µg/L
240
T4- FREE, SERUM
NORMAL VALUES  : 0.89 - 1.76 ng/dL
HYPOTHYROIDISM : Less than 0.89
HYPERTHYROIDISM: Greather than 1.76
Children (1-20  years): 0.8-2 ng/dL
Adults: 0.8-2.7 ng/dL
239
T4 TOTAL (THYROXINE), SERUM
4.5 - 12.5 µg/dL
Children (1-15 years): 5.6-11.7 µg/dL
Men: 4.6-10.5 µg/dL
Women: 5.5-11µg/dL
244
TESTOSTERONE, SERUM
Males:
* 20-49 years           :  72 - 853 ng/dL
* Greater than 50 years : 129 - 767 ng/dL

Females:
* Ovulatory phase    :   < 73 ng/dL
* Postmenopausal     :   < 43 ng/dL
Males:
1 - 9  years: <0.3 ng/mL
Adults:  2.6 - 10 ng/mL
Females:
1- 9 years: <0.2 ng/mL
Adults: 0.15- 0.7 ng/mL
412
THYROGLOBULIN, SERUM
Less than 55 ng/mL
3-42 ng/mL
248
TRANSFERRIN, SERUM
Adults and children over 10 years: 200-360 mg/dL
Children:
0-4 Days:                   130-275 mg/dL
3 months - 10 years: 203-360 mg/dL
 * Calibrator traceable to Standard ERM® DA470
200 – 360 mg/dL
249
TSH (THYROID STIMULATING HORMONE), SERUM
0.3 - 5 µU/mL
Límite de sensibilidad: 0.01 µU/mL
 * CALIBRACION CON ESTANDAR DE REFERENCIA WHO 2nd IRP 80/558
Children 1-20 years: 0.7-6.4 mU/L
Adults 21-54 years: 0.4-4.2 mU/L
Adults 55-87 years: 0.5-8.9 mU/L

Reference values in pregnant women:
        - 1st trimester: up to 2.5 mU/L
        - 2nd and 3rd trimester: up to 3.5 mU/L           
2005
UREA , SERUM
17 - 50 mg/dL
17 - 49 mg/dL
884
UREA, URINE
14-35 g/24h
13-36 g/24h
254
VITAMIN B12 (CYANOCOBALAMINE), SERUM
180-914 pg/mL
206 - 678 pg/mL
 

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