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Prothrombin Time (PT)

The PT is a screening test for the extrinsic/tissue factor and common pathways, and is sensitive to deficiencies of Factors II, V, VII, and X. The sensitivity of the PT to variation in the levels of Vitamin K dependent factors (II, VII and X) make the PT an excellent test for monitoring Warfarin therapy. The result obtained is divided by a ‘geometric mean normal PT’ and an international sensitivity index (ISI) value is then applied to the result producing an ‘International Normalised Ratio’ (INR).

Prothrombin Time (PT), commonly reported alongside the International Normalised Ratio (INR), plays an important role in the investigation of coagulation abnormalities. By measuring the time taken for blood to clot, PT/INR testing supports the monitoring of anticoagulant therapy such as warfarin and assists in the assessment of bleeding risk and suspected clotting disorders in accordance with routine clinical practice in Ireland.

At Enfer Medical, Prothrombin Time investigations are performed using validated laboratory methods, supporting accurate and timely coagulation analysis to inform clinical decision-making and patient management.

Clinical Details

The PT measures changes in the extrinsic pathway clotting factors II, VII, and X, which are among the main factors suppressed by coumarin (warfarin) therapy, along with factor V, which remains unaffected by oral anticoagulants. In addition, it is useful for evaluating the liver’s ability to synthesis proteins in both acute and chronic hepatic disease.

An elevated prothrombin time (PT) may result from a variety of clinical and pharmacological causes, including:

  • Vitamin K deficiency
  • Liver disease
  • Disseminated intravascular coagulation (DIC)
  • Hereditary or acquired deficiencies of coagulation factors II, V, VII, or X
  • Autoantibodies or inhibitors directed against these coagulation factors.
  • Presence of lupus anticoagulant (rare)

Anticoagulant therapy, including vitamin K antagonists, direct thrombin inhibitors, and direct factor Xa inhibitors.

 

Case Study
At Enfer Medical, we have integrated a cutting-edge and fully automated WASPLab® (Walk Away Specimen Processor) that has significantly enhanced our testing capabilities to ensure the highest of quality when processing patient samples.
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WASPLab® at Enfer Medical
Our entire microbiology workflow has been optimized using automation and highly sophisticated robots to ensure uninterrupted incubation for rapid bacterial growth and improved turnaround times for patients.
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Our Services

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Sample Type &
Volume Required

Citrated Plasma 3Ml; 3.2% trisodium citrate (Green or light blue Top depending on the manufacturer), filled to the required mark/line. Inadequately filled tubes cannot be tested.

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Transporting
Samples

In addition to the packaging of samples, the transport/delivery of clinical samples to the laboratory is required to be in adherence to all national regulations for the safe transport of biological materials. Enfer Medical provides a fully compliant logistics service, aligned with clients’ testing requirements.

Prompt transport of specimens:
To ensure prompt testing of samples and release of results within the published test turnaround times, samples should arrive to the laboratory by 18:00. Test turnaround time is measured from receipt of the sample at the laboratory until the time the authorised results are reported to users.

Acceptance/Rejection
of Samples

In rare cases specimens may not be suitable for testing on arrival to the laboratory. In that case the sample will be rejected at the receipt stage and the service user will be notified immediately and an explanation as to why the sample could not be processed will be provided. Reasons why samples cannot be processed include but are not limited to:

  • Samples received beyond the stability limits and/or not at the correct temperature indicated for each test.
  • Incorrect sample type received.
  • Leaking samples, sample not received or sample insufficient for analysis as stated below within sample requirements.
  • Non-compliant samples or request forms i.e. those missing sample date information, missing sample test request and/or missing sample site/type information.
  • Samples received without the necessary patient identifiers.
Clients will be provided with guidance on Sample Receipt Anomalies.

Our Services

Service
Health & Wellness
General health and wellness testing can include a variety of tests, depending on the needs of the individual or recommendations of
Find Out More
Service
Sexual Health
Regular STI screening facilitates early treatment and reduces the long-term consequences of infection.
Find Out More
Service
Respiratory Health
Rapid early pathogen identification has important treatment and infection control implications. See our range of tests here.
Find Out More
Service
Reproductive & Female Health
Hormonal analysis is hugely beneficial to identifying problems that can arise during the reproductive years.
Find Out More
Service
All Services
View the full suite of services at Enfer Medical here.......
Find Out More
Result Values:
Quantitative results for PT are reported in numeric value in s (seconds). Please contact us for more information on the reference ranges used at Enfer Medical.
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