Abstract :
[en] ABSTRACT
Background
Bronchoalveolar lavage fluid (BALF) analysis is a key diagnostic tool in veterinary respiratory medicine. The IDEXX ProCyte Dx analyzer was developed for blood formulation and cellular counting in various fluids, but its applicability for BALF analysis remains unexplored.
Objectives
To assess the agreement between manual counting and automated counting using the IDEXX ProCyte Dx analyzer for total cell count (TCC) and differential cell count (DCC) in BALF samples from healthy and diseased dogs, under two pretreatment conditions: mucolytic treatment with dithiothreitol (DTT) or filtration.
Methods
BALF from 10 healthy beagles and 14 diseased dogs were analyzed to compare
TCC
and
DCC
between manual and automated methods across pretreatment conditions.
Results
In healthy dogs, Bland–Altman analysis on log‐transformed data demonstrated a mean ratio close to 1 and acceptable 95% limits of agreement between manual and automated methods and between pretreatment conditions. In diseased dogs, good agreement was observed between manual and automated methods for filtered samples only; the other comparisons showed poor agreement. In both healthy and diseased dogs, Passing‐Bablok regression analysis did not detect systematic or proportional bias between methods. Automated
DCC
was inconsistent compared with manual methods in both healthy and diseased dogs.
Conclusions
The IDEXX ProCyte Dx analyzer can be used for TCC measurement of pre‐treated BALF samples in healthy dogs. In diseased dogs, filtration is preferred over DTT‐treatment for automated counting, and results should be interpreted with caution due to the unpredictable influence of pretreatment on cellular counts. For DCC, automated methods are unreliable.
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