The preanalytic phase in veterinary clinical pathology. - INRAE - Institut national de recherche pour l’agriculture, l’alimentation et l’environnement
Article Dans Une Revue (Article De Synthèse) Veterinary Clinical Pathology Année : 2015

The preanalytic phase in veterinary clinical pathology.

Jean-Pierre Braun
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Anne Geffre
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Didier Concordet

Résumé

This article presents the general causes of preanalytic variability with a few examples showing specialists and practitioners that special and improved care should be given to this too often neglected phase. The preanalytic phase of clinical pathology includes all the steps from specimen collection to analysis. It is the phase where most laboratory errors occur in human, and probably also in veterinary clinical pathology. Numerous causes may affect the validity of the results, including technical factors, such as the choice of anticoagulant, the blood vessel sampled, and the duration and conditions of specimen handling. While the latter factors can be defined, influence of biologic and physiologic factors such as feeding and fasting, stress, and biologic and endocrine rhythms can often not be controlled. Nevertheless, as many factors as possible should at least be documented. The importance of the preanalytic phase is often not given the necessary attention, although the validity of the results and consequent clinical decision making and medical management of animal patients would likely be improved if the quality of specimens submitted to the laboratory was optimized.

Dates et versions

hal-02637823 , version 1 (28-05-2020)

Identifiants

Citer

Jean-Pierre Braun, Nathalie Bourges-Abella, Anne Geffre, Didier Concordet, Cathy Trumel. The preanalytic phase in veterinary clinical pathology.. Veterinary Clinical Pathology, 2015, 44 (1), pp.8-25. ⟨10.1111/vcp.12206⟩. ⟨hal-02637823⟩
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