False Positive Tests for Urinary Ketones

To the Editor: Patients receiving total parenteral nutrition may undergo routine bedside analysis of urine for glucose and ketones with the use of reagent strips (Ketodiastix, Labstix, or Multistix; Miles, Elkhart, Ind.). Two patients who had undergone urinary diversion procedures (creation of a Mia...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 330; no. 8; p. 578
Main Authors Holcombe, Beverly J, Hopkins, Angela M, Heizer, William D
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 24.02.1994
Subjects
False Positive Reactions
Humans
Ketones - urine
Reagent Strips
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Summary:To the Editor: Patients receiving total parenteral nutrition may undergo routine bedside analysis of urine for glucose and ketones with the use of reagent strips (Ketodiastix, Labstix, or Multistix; Miles, Elkhart, Ind.). Two patients who had undergone urinary diversion procedures (creation of a Miami pouch and cecostomy) and were receiving total parenteral nutrition had positive tests for urinary ketones. Their serum glucose concentrations were less than 150 mg per deciliter; other causes of ketonuria were ruled out. Neither patient was receiving a medication known to interfere with this test 1 (and Customer Service Department, Miles: personal communication). The serum of one . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199402243300820