Thank you all who responded to my request for iron binding methods on the Vitros Fusion.
Several suggested changing to transferrin. I have evaluated the Vitros transferrin method to replace TIBC but it is more expensive and takes about 40 minutes. Most of our TIBC requests are for renal patients. The renal unit is following the European Best Practice Guidelines for the Treatment of Renal Anaemia which require transferrin saturation. Since we get about 30 per day (out of a total workload of 14,000 tests) the Vitros TIBC method which requires considerable manual input uses a lot of valuable staff time. Transferrin would use less staff time but thirty 40 minute tests would tie up a front-line analyser for too long.
Now that the software for non Vitros tests is available Iron binding looks like a better option.
Mike Collins
BMS3
Biochemistry
Norfolk & Norwich University Hospital
Colney Lane
Norwich NR4 7UY
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