Folia Medica Indonesiana
ISSN 0303-7932
Vol. 40 / No. 3 / Published : 2004-07
Order : 4, and page :76 - 85
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Original Article :
Correlation between the methods of flowcytometry, manual light and fluorescence microscopes for cd4 cell count in normal adults
Author :
- Endang Retnowati*1
- Wira Santoso*2
- Nasronudin*3
- Department of Clinical Pathology Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya
- Department of Clinical Pathology Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya
- Department of Internal Medicine Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya
Abstract :
A laboratory study was conducted in order to assess the correlation and to compare between flowcytometry, manual light and fluorescence microscope methods used for enumeration of CD4 cell count. K3EDTA whole blood samples from 15 healthy volunteers were taken for determining CD4 cell count by flowcytometry, manual light and fluorescence microscope methods. The results of the manual light and fluorescence microscope methods showed a significant correlation to the flowcytometry method, r = 0.949 (p = 0.000) and r = 0.959 (p = 0.000) respectively. In addition, the manual light microscope method demonstrated a significant correlation to the manual fluorescence microscope method, r = 0.927 (p = 0.000). The comparison between the flowcytometry method, the manual light and fluorescence microscope methods was not significantly different, respectively p = 0.175 and 0.055. Furthermore, there was no significant difference between the manual light microscope and the fluorescence microscope, p = 0.768. In using the manual light and fluorescence microscope methods, the CD4 cell count were enumerated by three different laboratory technicians. The results showed a significant correlation between the manual light microscope and flowcytometry methods, r = 0.943 (p = 0.000), r = 0.943 (p = 0.000) and r = 0.935 (p = 0.000), respectively. Moreover, compared to the flowcytometry method the results were not significantly different, p = 0.167, 0.121 and 0.412, respectively. The manual fluorescence microscope method showed a significant correlation to the flowcytometry method, r = 0.961 (p = 0.000), r = 0.947 (p = 0.000) and 0.932 (p = 0.000), respectively. The comparison to the flowcytometry method showed that the results of the first and second technician were not significantly different p = 0.642 and 0.052, respectively, however, the result of the third technician was significantly different (p = 0.018). Based on the results of the data analysis obtained in this study, it can be concluded that the manual methods can be used to replace the flowcytometry method for the determination of CD4 cell count.
Keyword :
flowcytometry, manual light, fluorescence microscopes for CD4 cell count,
References :
Bird AG,(1995) Quantification of CD4-positive T Lymphocytes. in Karn (editor) HIV, Virology and Immunology A Practical Approach, Volume 1 New York : Oxford University Press
Horsburgh Jr, CR,(1994) Prognostic Indicators For Progression of HIV Disease. in Schochetman (eds) AIDS Testing, A Comprehensive Guide to Technical, Medical, Social, Legal and Management Issues. Second Edition New York : Springer - Verlag
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