Clinical Chemistry, Vol 32, 1648-1654, Copyright © 1986 by American Association for Clinical Chemistry

Quantification of analyte and interferent by multipoint analysis

RL Czervionke, GF Johnson, NF Nuwayhid and RD Feld

We have investigated the application of multipoint kinetic curve- fitting methods to the determination of an analyte in the presence of a single interferent. Our model system for the analyte-interferent was creatinine-acetoacetate as determined with the kinetic Jaffe method. We examined the utility of the following multipoint approaches: simultaneous equations, multivariable linear regression, and iterative multivariable nonlinear regression. With appropriate restrictions, all approaches could detect acetoacetate interference and quantify both creatinine and acetoacetate. A two-stage linear regression approach was both versatile and computationally simple. Interferent was detected in the first stage, and both analyte and interferent were quantified in the second stage if the interferent was assumed known and an adequate fit of the model to the data was obtained. Using the two-stage linear regression model, we obtained results for 10 ketotic patients that correlated well with results by enzymatic methods for creatinine (r = 0.976) and acetoacetate (r = 0.995); we also demonstrated that creatinine could be quantified in the presence of the antibiotic cefoxitin.