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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-04
Automated Corrected Reticulocyte Count Superiority above Manual Methods
Shubham Rastogi, Dr. Arvinder Singh, Dr. Pooja Chhabra
Published: April 26, 2016 |
177
309
DOI: 10.36347/sjams.2016.v04i04.015
Pages: 1177-1179
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Abstract
Corrected Reticulocyte Count is necessary because the raw reticulocyte count is misleading in anemic patients.
The problem arises because the reticulocyte count is not really a count but rather a percentage: it reports the number of
reticulocytes as a percentage of the number of red blood cells. In anemia, the patient's red blood cells are depleted,
creating an erroneously elevated reticulocyte count. 30 adult male and female anemic patients were randomly selected
from the Arth Diagnostics laboratory, Rajasthan. Automated CRC was performed through Pentra XLR from Horiba
Medicals, Japan. Manual reticulocyte count was performed traditional method with Methylene Blue dye and light
microscopy. Manual PCV was performed through graduated tube centrifuging at high speed. There is significant
difference in the values of CRC in manual vs automated method. The variation is huge and it varied from minimum 2.2%
to 211%. The average percentage deviation is 34.1%. The p value of difference between Manual CRC and Automated
CRC is significant (p value <0.1). The difference was not skewed in one direction rather it was on either side i.e. it varied
from positive to negative both significantly. Automated methods are counting through measurement error free methods
along with more number of cells in comparison to manual methods. So undoubtedly Pentra XLR from Horiba Medicals,
Japan is superior and reliable for estimating Corrected Reticulocyte Count. It will of definite help for better diagnosis and
management of anemic patients.