Correlation of In–Lab Pleural fluid glucose measurement with bed–side pleural fluid glucose measurement by Glucometer

Dr. Abhijeet Yadav; Dr. Vikas Patel; Dr. Sunil Dighe

Volume : IX, Issue : VII, July - 2019

Correlation of In–Lab Pleural fluid glucose measurement with bed–side pleural fluid glucose measurement by Glucometer

Dr. Abhijeet Yadav, Dr. Vikas Patel, Dr. Sunil Dighe

Abstract :

Measurement of the pleural fluid glucose level is helpful in the differential diagnosis of exudative pleural effusions.This prospective study was carried in 94 patients recruited from January 2016 to June 2017 at a Tertiary care centre.Patients with clinico–radiologically confirmed pleural effusion were subjected for thoracocentesis and pleural fluid was tested simultaneously for glucose by glucometer method and In–Lab enzymatic method.These included 49 Tubercular pleural effusion, 31 Tuberculous empyema,6 bacterial empyema,4 malignancy and tubercular pleural effusion with diabetes each. Mean pleural fluid glucose (in mg%) of 94 patients by strip method is 73.64 and by laboratory method is 59.32 (diff = 14.32). The pleural fluid glucose calculated by either method is almost comparable in case of tubercular pleural effusion,empyema ,bacterial empyema,&malignancy cases .It shows great variation in patients having diabetes with pleural effusion