Thursday, June 4, 2020

Paternity (genetic compatibility Express) screening, whole blood/dry swab

Delivery Time Modification

Test code: 5579

Effective update from 08/06/2020



PREVIOUS

NEW
        
     
     
      Delivery term: 20 days
     

   
        
         
     
      Delivery term: 12 days
     

   Find the record of the test by clicking here

Paternity (legal value Express) screening, whole blood/dry swab

Delivery Time Modification

Test code: 5110

Effective update from 08/06/2020



PREVIOUS

NEW
        
     
     
      Delivery term: 20 days


        
         
     
      Delivery term: 12 days

     

   Find the record of the test by clicking here

HEREDITARY SPHEROCYTOSIS - PANEL - NGS

Studied genes and Delivery Time Modification

Test code: 7870

Effective update from 08/06/2020


PREVIOUS

NEW
        
 Studied genes: ANK1, EPB42, SLC4A1, SPTA1, SPTB  


     Delivery term: 57 days


        
 Studied genes: ANK1, EPB42, SLC4A1, SPTA1, 
  SPTB, EPB41, RHAG   
     
  Delivery term: 42 days


   Find the record of the test by clicking here

VDRL (SYPHILIS), CEREBROSPINAL FLUID

Reference values Modification

Test code: 3817

Effective update from 08/06/2020



PREVIOUS

NEW
        
      Not detected
     
     
      Version of Test: 5
     

        
      Negative   
         
     
      Version of Test: 6
     

   Find the record of the test by clicking here

BENZODIAZEPINES, SERUM (See test detail)

Reference values, Method Modification

Test codes: 
745 - DIAZEPAM (VALIUM), SERUM
835 - LORAZEPAM, SERUM
1737-BROMAZEPAM, SERUM
2349-ALPRAZOLAM (TRANKIMAZIN), SERUM
5112-FLURAZEPAM, SERUM
1575-NITRAZEPAM, SERUM
983  -CLOBAZAN, NORCLOBAZAM AND RATIO, SERUM

Effective update from 10/06/2020

METHOD MODIFICATION FOR ALL THE TESTS. New methodology: Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS)



TEST
Mnemonic
PREVIOUS
NEW
745
DIA
125-250 µg/L
Toxicity: >3000 µg/L
Therapeutic level: 100 - 2500 µg/L
Toxicity: Greater than 3000 µg/L
Limit of quantification: 25 µg/L  
835
LORA
Units: ng/mL
Therapeutic level: 20 - 250 ng/mL
Toxic levels are not defined
Units: µg/L
Therapeutic level: 20 - 250 µg/L
Toxicity: Greater than 300 µg/L
Limit of quantification: 5 µg/L 
1737
BRO
80-170 µg/L
Toxicity: >300 µg/L
Therapeutic level: 50-200 µg/L
Toxicity: Greater than 300 µg/L  (Greater than 2000 µg/L Letal)
Limit of quantification: 10 µg/L
2349
ALPR
Units: ng/mL
Therapeutic level: 11 - 20 ng/mL

Units: µg/L
Therapeutic level: 5 - 50 µg/L
Toxicity: Greater than 100 µg/L
Limit of quantification: 2 µg/L 
5112
FLURO
Units: ng/mL
10 - 110 ng/mL
Unidades: µg/L
Therapeutic level: 20 - 100 µg/L
Toxicity: Greater than 200 µg/L (Greater than 800 µg/L Letal)
Limit of quantification: 3 µg/L 
1575
NITRZ
Therapeutic levels: 30 - 100 µg/L
Toxic levels: Greater than 200 µg/L
Therapeutic level: 30 - 100 µg/L
Toxicity: Greater than 200 µg/L
Limit of quantification: 20 µg/L  
983
CLNC
Clobazam   :  30 -  300 µg/L
Norclobazam: 300 - 3000 µg/L
Norclobazam/Clobazam Ratio: Less than 10
Clobazam:
   Therapeutic level: 30 - 300 µg/L
   Toxicity: Greater than 500 µg/L
   Limit of quantification: 10 µg/L
Norclobazam:
  Therapeutic level: 300 - 3000 µg/L
  Limit of quantification: 50 µg/L
  Ratio Norclobazam/Clobazam: Less than 10
    
NOTE:
    Norclobazam / Clobazam ratio is useful for obtaining information on
    drug metabolization capacity and improve dose adjustment.
    Very high ratios (> 25) indicate that the patient is a slow metabolizer of the
    CYP2C19 (if you are not taking CYP3A-inducing drugs or CYP2C19 inhibitors).

    Note: The presence of Norclobazam should be assessed only in the case of therapy
    without Clonazepam, since it interferes in the analysis.