CLIA ’88-waived CBC device for primary care
Complete blood counts (CBCs) are routinely used by clinicians to determine if infections may warrant treatment with antibiotics. They are also useful for screening patients for anemia. Unless a pediatrician has the luxury of practicing in a clinic with an onsite lab, we must send the patient to a hospital or independent lab to have a CBC done, wasting valuable time and necessitating contacting the patient once results are available. Now for the first time ever, there is a POC CLIA ‘88-waived CBC system for primary care practices. The Sysmex XW-100 (Sysmex America Inc.; Lincolnshire, Illinois) has a small footprint (13.8 in by 7.3 in), and uses 2 liquid reagents. According to the manufacturer, the XW-100 is not for use in diagnosing or monitoring patients with primary or secondary chronic hematologic diseases/disorders, oncology patients, critically ill patients, or children aged younger than 2 years.
The device will test only venous specimens (not finger-prick samples), with results available in as little as 3 minutes. The analyses include white and red blood cell count, mean corpuscular volume, platelet count, as well as neutrophil and lymphocyte count, other white blood cell counts, and neutrophil, lymphocyte, and other white blood cell percentages. The device will be available by spring of 2018. Price is not available as of this writing.
I hope you will consider integrating some of these innovations into your practices. For more in-depth discussion and video reviews of these technologies and others, please visit www.medgizmos.com.
1. Friedman DS, Repka MX, Katz J, et al. Prevalence of amblyopia and strabismus in white and African American children aged 6 through 71 months: the Baltimore Pediatric Eye Disease Study. Ophthalmology. 2009;116(11):2128-2134.e1-2.