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(mg./ 100 ml.) Serum Whole blood Urine Serum Whole blood Urine
0 0-75 1*8 1-1
10 10-8 10.9 100-5 98
20 20-5 20-5 99 97
30 30-8 30-2 100 97
40 40-3 42-0 41-1 99 100-5 100
50 50.5 99.5
Wintrobe's anticoagulant (Wintrobe & Landsberg, 1935; contains between 10 and 40 mg. of salicylic acid/100 ml. The
cf. also in this paper p. 303)- is used for plasma and whole diluted urine is analysed as for serum. After obtaining the
blood. 1 ml. of fluid is placed in a cylindrical centrifuge optical density of the unknown, a blank reading is obtained
tube and 5 ml. of colour reagent are added; the tube is by setting the instrument with water and reading the
shaken during the addition. The contents of the tube are optical density of a solution prepared by mixing 1 ml. of
shaken for a few seconds to ensure that the protein pre- diluted urine with 5 ml. of colour reagent and 0.1 ml. of
cipitate is finely dispersed. The tube is centrifuged at syrupy phosphoric acid (sp.gr. 1.75), using the same cells and
2000g for 2 min. and the supernatant fluid, which should be ifiter as before. Urine solutions often do not require centri-
optically clear, is transferred to a test tube. A photoelectric fuging; if centrifuging is necessary both unknown and urine
colorimeter is set at full-scale defiexion (optical density, 0) blank are centrifuged.
Vol. 57 DETERMINATION OF SALICYLATE 303
Urine salicylic acid mg./100 ml.=n(mg. salicylic acid/ by other methods. If an instrument, such as the
100 ml. in diluted unknown - mg. salicylic acid/100 ml. in Spekker Absorptiometer, is available, which can
diluted urine blank) x dilution factor. give readings with small volumes of fluid, the
method can be used on samples of blood obtained by
RESULTS finger prick, using 0-2 ml. of blood and 1 ml. of
Successive c.s.f., plasma, whole blood, serum and colour reagent. This modification would be especi-
urine samples, obtained from patients who were not ally useful for the determination of salicylate in the
taking salicylates, were analysed by the proposed blood of children. The results obtained using urine
method. The results in Table 2 show that the 'blank' are not so reliable as those obtained using serum,
values (in mg. salicylic acid/100 rnl.), were less than owing to the somewhat high blank values for
1.1 for serum, c.s.f., and plasma; less than 2-0 for normal urine. In practice the concentration of
whole blood and less than 4-5 for urine. Recovery salicylate in urine, even after small doses of sali-
experiments were performed by analysing pooled cylates, is so high (100 mg. or more of salicylic
serum, whole blood and urine, to which known acid/100 ml. of urine) that the relative error is small.
amounts of sodium salicylate had been added. The
results given in Table 3 indicate that the recoveries SUMMARY
were almost quantitative. The recovery figures 1. A rapid method for the determination of
were not affected by the addition of 100 mg. of salicylate in biological fluids is presented, based on
phosphate ion, 20 mg. of bilirubin, 25 mg. of a reagent containing ferric nitrate, mercuric chloride
phenol, 10000 i.u. of heparin, 1000 mg. of glucose or and hydrochloric acid, which precipitates the pro-
1000 mg. of urea, per 100 ml. of serum. The addition teins and simultaneously reacts with salicylic acid
of 250 mg. of Wintrobe's anticoagulant (150 mg. of to give a purple colour.
ammonium oxalate, (COONH4)2, H20, plus 100 mg. 2. The recovery of sodium salicylate added to
potassium oxalate, (COOK)2, H20/100 ml. of biological fluids is quantitative.
serum) increased the results by 0 3 mg. of salicylic 3. The blank values on normal serum and plasma
acid/100 ml. The addition of 50 mg. of ethyl samples are less than 1 1 mg. of salicylic acid/100 ml.
acetoacetate/100 ml. of serum, increased the results 4. The effect of some possible interfering sub-
by 1 mg. of salicylic acid/100 ml. The effect of other stances is considered.
keto acids on the recovery figures was not studied. 5. A single determination occupies 5 min.
DISCUSSION
REFERENCES
Although a rapid method is worth developing in the Archibald, R. M. (1950). Analyt. Chem. 22, 639.
interests of economy, the aim should not be to Smith, M. J. H. & Talbot, J. M. (1950). Brit. J. exp. Path.
sacrifice accuracy for speed. In the present method 31, 65.
a single determination occupies only 5 min., but the Tarnoky, A. L. & Brews, V. A. L. (1950). J. clin. Path. 3,
method is at least as accurate as other methods. The 289.
recovery figures are good and the blank values are Wintrobe, M. M. & Landsberg, J. W. (1935). Amer. J. med.
low even for whole blood, which cannot be analysed Sci. 189, 202.