Sweat testing by capillary collection and osmometry: suitability of the Wescor Macroduct System for screening suspected cystic fibrosis patients

Aust Paediatr J. 1988 Jun;24(3):191-3. doi: 10.1111/j.1440-1754.1988.tb00323.x.

Abstract

A new method of collecting and analysing sweat (Wescor Macroduct) has advantages of simplicity of collection and direct reading of results by osmometry. Forty-seven children with cystic fibrosis and 47 normal children had sweat tests performed simultaneously by the Gibson and Cooke method and by the Wescor Macroduct method. The new method had a higher rate of inadequate collection (19% vs 6%) which was more marked in children under 5 years of age. This was due partly to the difficulty of fitting a 2.5 cm pilocarpine gel disc to small arms. When an adequate collection was obtained, results were reliable with no false negatives occurring during this study. The Wescor Macroduct sweat test is a reliable method for use in peripheral centres to screen patients suspected of having cystic fibrosis. All children with an inadequate collection or a positive result should be referred to a reference centre for confirmation of the diagnosis. However, the majority will be saved the expense and disruption of travel.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Capillary Permeability
  • Child
  • Child, Preschool
  • Cystic Fibrosis / prevention & control*
  • Electrodes
  • Equipment Design
  • False Negative Reactions
  • False Positive Reactions
  • Humans
  • Infant
  • Infant, Newborn
  • Sodium Chloride / analysis
  • Specimen Handling / instrumentation
  • Specimen Handling / methods*
  • Sweat / analysis*

Substances

  • Sodium Chloride