. ...............................................
and bile could also be of importance for metabolic investigations.
Best regards
Leifur Franzson MScPharm
Specialist in Clinical Biochemistry
Clinical Associate Professor
Dept. of Genetics and Molecular Medicine
Landspitali University Hospital
Hringbraut, 101 Reykjavik, Iceland
The following is an extract from a policy
on unexpected infant death and I was hoping there might be some forensic
specialists who read the data base who might advise.
- Any stool or urine passed by the infant,
together with any gastric or nasopharyngeal aspirate obtained, should be
carefully labelled and frozen after samples have been sent for bacterial
culture and for virology. If the nappy is wet or soiled, it should be removed,
labelled and frozen also.
- During the process of resuscitation, various
investigations will be initiated, including blood samples for blood gases,
urea and electrolytes, full blood count, blood sugar and blood culture.
Blood and, if possible, urine samples should also be taken at this time
for metabolic investigations. If resuscitation is not instituted, then
in most cases such investigations should be taken as soon as possible after
the arrival of the infant. A lumbar puncture should also be performed and
a sample of cerebrospinal fluid (CSF) sent for microscopy and culture.
If possible, a further sample of CSF should also be frozen for future metabolic
investigation.
Questions,
What should we do with the nappy?
Should we carry out any of the routine investigations
requested in the second paragraph, or is it more important to keep the
samples for forensic purposes., if so how should we process them?, e.g.
centrifuge samples as normal and remove plasma/ or leave in original containers,
should they be frozen?
Tim Hogan
Laboratory Manager
Clinical Biochemistry
Basildon and Thurrock University
Hospitals
NHS Foundation Trust
01268 593036
or 0845 155 3111 Ext 3036
[log in to unmask]
www.basildonandthurrock.nhs.uk
National Pathology
Week 3 - 9 November 2008
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