The Library
1530 papers on microsampling and monitoring, each with a finding paraphrased to our standard and labelled in one vocabulary. Every entry links to a legitimate copy; nothing is copied from an abstract.
Papers 201–300 of 313 labelled “dbs”, newest first.
2021
A quantitative dried blood spot device (Capitainer qDBS) combined with the Roche Elecsys anti-SARS-CoV-2 S immunoassay tracked anti-spike antibody development after two doses of the Pfizer vaccine, with the second dose producing a roughly hundredfold stimulation that peaked at two weeks and fell to 65 percent by three months. The bias between plasma and DBS was variable across both a 14-volunteer vaccination cohort and a 200-patient clinical cohort, yet DBS proved sufficiently sensitive for prolonged immune-status monitoring without venous draws.
Use of Quantitative Dried Blood Spots to Evaluate the Post-Vaccination Level of Neutralizing Antibodies against SARS-CoV-2 — Marchand et al., Life
- blood
- dried
- dbs
- qdbs
- self-collection
- validation
- venous-agreement
- serology
2021
Preanalytical variables significantly affect therapeutic drug monitoring accuracy, where traditional dried blood spots face challenges with haematocrit bias and filter paper fragility. Volumetric absorptive microsampling provides a fixed-volume alternative that overcomes haematocrit dependency and facilitates self-collection workflows.
Review of the Preanalytical Errors That Impact Therapeutic Drug Monitoring — Peck Palmer & Dasgupta, Therapeutic drug monitoring (paywalled)
- blood
- dried
- vams
- dbs
- validation
- tdm
- haematocrit
2021
Remote dried blood spot testing for HbA1c was feasible for telemedicine, with just over half of ordered tests completed and results available within a week for most who completed the test.
Adapting to telemedicine in the COVID-19 era: Feasibility of dried blood spot testing for hemoglobin A1c — Roberts et al., Diabetes & metabolic syndrome (paywalled)
- blood
- dried
- dbs
- self-collection
2021
Home-collected dried blood spots were feasible for longitudinal HIV viral load monitoring among US MSM, with high return rates and most participants maintaining undetectable viral load across time points. This supports use of self-collected DBS as a decentralised approach to sustain viral suppression.
Longitudinal Viral Load Monitoring Using Home-Collected Dried Blood Spot Specimens of MSM Living with HIV: Results from a Feasibility Pilot Study — Teran et al., AIDS and behavior
- blood
- dried
- dbs
- self-collection
- serology
2021
This proof-of-concept study compared VAMS and dried blood spot microsamples with fluid blood for untargeted lipidomic profiling using high-resolution LC-MS/MS, finding that VAMS is a viable option for untargeted lipidomics with the advantage of haematocrit independence over traditional dried blood spots.
Volumetric Absorptive Microsampling of Blood for Untargeted Lipidomics — Marasca et al., Molecules
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- validation
- haematocrit
- biomarkers
2021
This review finds that sensitive assays and novel microsampling designs have largely overcome traditional dried blood spot limitations, establishing feasibility for routine therapeutic drug monitoring. Patient self-sampling remains uncommon but feedback is largely positive, indicating microsampling will become increasingly important in decentralised care.
Microsampling Devices for Routine Therapeutic Drug Monitoring-Are We There Yet? — Morgan, Therapeutic drug monitoring (paywalled)
- blood
- dbs
- volumetric
- validation
- acceptability
- tdm
2021
Seroprevalence among Milan schoolchildren rose from 2.8% in September 2020 to 12.5% in January 2021, with an overall seroconversion rate of 10% and no difference between those attending school in person and those switched to remote learning, suggesting schools reflected rather than amplified community transmission.
Does school reopening affect SARS-CoV-2 seroprevalence among school-age children in Milan? — Barcellini et al., PloS one
- blood
- dried
- dbs
- self-collection
- pediatric
- serology
2021
The study demonstrates a fully automated workflow for dried blood spot sample handling and extraction that recovers intact SARS-CoV-2 IgG antibodies using a commercial ELISA kit, enabling minimally invasive at-home sampling without third-party involvement.
Fully automated dried blood spot sample handling and extraction for serological testing of SARS-CoV-2 antibodies — Gaugler et al., Drug testing and analysis (paywalled)
- blood
- dried
- dbs
- self-collection
- serology
2021
This review summarises liquid chromatography with tandem mass spectrometry assays using dried blood spots and volumetric absorptive microsampling for quantifying antimicrobial drugs in children, highlighting that VAMS reduces haematocrit bias and offers a viable alternative to traditional plasma sampling for therapeutic drug monitoring.
Microsampling Assays for Pharmacokinetic Analysis and Therapeutic Drug Monitoring of Antimicrobial Drugs in Children: A Critical Review — Moorthy et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- validation
- pediatric
- tdm
- antimicrobials
- haematocrit
2021
Near-infrared spectroscopy predicted haematocrit in dried blood spots with a maximal bias of 0.012 L/L and coefficient of variation of 4.5%. The method demonstrated robustness for capillary finger-prick samples and across various storage conditions, filter paper types and spotted volumes, enabling correction of haematocrit-related bias in quantitative analysis and supporting broader use of patient-centric microsampling.
Near-infrared-based hematocrit prediction of dried blood spots: An in-depth evaluation — Delahaye et al., Clinica chimica acta; international journal of clinical chemistry (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- haematocrit
2021
Dried blood spots collected by fingerstick from SARS-CoV-2 convalescent and vaccinated individuals showed strong correlation with paired plasma for antibody binding and neutralisation titres. This supports decentralised serology by enabling self-collection and ambient-temperature mailing and storage, overcoming the cold-chain requirements of venous sampling.
SARS-CoV-2 Antibody Binding and Neutralization in Dried Blood Spot Eluates and Paired Plasma — Itell et al., Microbiology spectrum
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- serology
2021
The study found that adding dried blood spot collection to measure C-reactive protein was feasible and acceptable among transgender and gender-nonconforming youth aged 9 to 20 attending a clinical service, and that a composite of greater gender-based stress with lower support was associated with higher inflammation, though no individual stress or support subscale reached statistical significance.
Gender Minority Stress, Support, and Inflammation in Transgender and Gender-Nonconforming Youth — McQuillan et al., Transgender health (paywalled)
- blood
- dried
- dbs
- acceptability
- pediatric
2021
Dried blood spots collected by finger prick from nursing home residents and staff showed sensitivities of 95.0–97.1% and specificities of 97.1–98.8% against venous blood for SARS-CoV-2 IgG antibodies, demonstrating reliable performance even in elderly people with reduced cutaneous microvasculature. This supports decentralised serosurveillance and post-authorisation vaccine studies because DBS can be obtained remotely and stored at room temperature.
Comparison of Dried Blood Spots and Venous Blood for the Detection of SARS-CoV-2 Antibodies in a Population of Nursing Home Residents — Meyers et al., Microbiology spectrum
- blood
- dried
- capillary
- dbs
- validation
- venous-agreement
- serology
2021
The review summarises that dried blood spot analysis and hepatitis C self-test assays have demonstrated diagnostic value for screening in decentralised settings and remote populations, supporting WHO diagnosis targets. This matters for decentralised diagnostics by confirming microsampling methods can be used for infectious disease screening outside clinical facilities.
Hepatitis C Diagnosis: Simplified Solutions, Predictive Barriers, and Future Promises — Shahid et al., Diagnostics
- blood
- dried
- dbs
- self-collection
- serology
2021
Capillary blood self-sampling showed near-perfect agreement with venous sampling for SARS-CoV-2 IgG detection, achieving a Cohen's kappa of 0.88. Samples remained stable at room temperature for seven days, and 38 of 39 participants successfully collected adequate volumes, supporting its use for decentralised serological testing.
Self-sampling of capillary blood for SARS-CoV-2 serology — Brown et al., Scientific reports
- blood
- liquid
- dried
- capillary
- dbs
- self-collection
- validation
- venous-agreement
- serology
2021
Self-sampled dried blood spots showed 99.20% sensitivity and 98.65% specificity for SARS-CoV-2 serology compared with venous sampling, and 99.87% of unsupervised home DBS cards were analysable, supporting DBS as a valid tool for large scale serosurveys and surveillance in resource limited settings.
A dried blood spot protocol for high throughput analysis of SARS-CoV-2 serology based on the Roche Elecsys anti-N assay — Beyerl et al., EBioMedicine
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- serology
2020
In 33 patients, dried blood spots showed high correlation with venipuncture for adalimumab, Pearson ≥0.96, whereas home sampling showed moderate correlation with predicted concentrations, Pearson 0.51.
Monitoring of Adalimumab Concentrations at Home in Patients with Inflammatory Bowel Disease Using Dried Blood Samples — Berends et al., Therapeutic Drug Monitoring (paywalled)
- venous-agreement
- biologics
- blood
- dbs
- tdm
- self-collection
- dried
- capillary
2020
A review contrasting the formats, framing the haematocrit effect, non-uniform spreading and homogeneity limits of DBS as the problems volumetric sampling is designed to solve.
Opportunities and obstacles for microsampling techniques in bioanalysis: special focus on DBS and VAMS — Londhe & Rajadhyaksha, J. Pharmaceutical and Biomedical Analysis (paywalled)
- vams
- blood
- dbs
- haematocrit
- dried
- validation
2020
Eighty-four per cent of 148 diverse US adults found self-collection of saliva, oropharyngeal swabs and dried blood spots for SARS-CoV-2 testing acceptable, and 87 per cent were confident their specimens were sufficient for laboratory analysis. The lack of demographic differences in acceptability supports broad feasibility of decentralised diagnostics.
At-home self-collection of saliva, oropharyngeal swabs and dried blood spots for SARS-CoV-2 diagnosis and serology: Post-collection acceptability of specimen collection process and patient confidence in specimens — Valentine-Graves et al., PloS one
- blood
- saliva
- dbs
- self-collection
- acceptability
- serology
2020
Dried blood spots collected serially from 763 female adolescent and young adult cancer survivors for up to 18 months revealed that anti-Müllerian hormone trajectories vary markedly by treatment gonadotoxicity and age at diagnosis. This establishes patient-centric microsampling as a viable method for longitudinal fertility assessment in decentralised oncology follow-up care.
Modeling Variation in the Reproductive Lifespan of Female Adolescent and Young Adult Cancer Survivors Using AMH — Su et al., The Journal of clinical endocrinology and metabolism (paywalled)
- blood
- dried
- dbs
- fertility
- hormones
2020
Finger-stick dried blood spots from 191 young women yielded anti-Müllerian hormone concentrations in the normal range (mean 5.66 ng/mL) and were deemed acceptable, with 81 per cent comfortable with collection and 88 per cent willing to repeat it. This supports feasibility of decentralised reproductive health studies, though validation against gold-standard measures remains necessary.
A pilot study for exploring blood spot anti-mullerian hormone for population-based adolescent reproductive health research — Hall et al., Frontiers in women's health (paywalled)
- blood
- dried
- capillary
- dbs
- acceptability
- fertility
- hormones
2020
Home dried blood spot monitoring for maple syrup urine disease raised the proportion of leucine concentrations meeting therapeutic targets by 35 per cent. More frequent self-sampling at home was associated with better biochemical control in newborns and fewer hospital visits, showing that patient-centric microsampling can improve management of inherited metabolic disorders.
The utility of dried blood spot monitoring of branched-chain amino acids for maple syrup urine disease: A retrospective chart review study — Kaur et al., Clinica chimica acta; international journal of clinical chemistry (paywalled)
- blood
- dried
- dbs
- self-collection
- pediatric
2020
A targeted NGS panel using dried blood spots achieved 100% concordance with Sanger sequencing in detecting pathogenic variants across 32 samples, with average coverage of 596X. This validates microsampling for decentralised newborn screening programmes, enabling accurate genetic diagnosis from minimally invasive specimens.
A targeted gene capture next-generation sequencing panel for genetic screening of newborns — Peng et al., JPMA. The Journal of the Pakistan Medical Association (paywalled)
- blood
- dried
- dbs
- validation
- pediatric
- genotyping
2020
Home-collected dried blood spots from 143 infants aged 8-14 months revealed wide variation in total cholesterol (4.1 mmol/L, range 2.3-6.6) and glycated haemoglobin (4.9%, range 3.7-6.0). Infant cholesterol correlated with macronutrient intake and maternal cholesterol, supporting decentralised paediatric screening.
Infant cholesterol and glycated haemoglobin concentrations vary widely-Associations with breastfeeding, infant diet and maternal biomarkers — Øyri et al., Acta paediatrica (paywalled)
- blood
- dried
- dbs
- self-collection
- pediatric
- biomarkers
2020
During urban reactive case detection for malaria in Lusaka, dried blood spot sampling was deployed for parasite genetic analysis alongside rapid diagnostic tests. However, high infection complexity and small sample numbers constrained the ability to discern transmission pathways from the genetic data.
The use of spatial and genetic tools to assess Plasmodium falciparum transmission in Lusaka, Zambia between 2011 and 2015 — Bridges et al., Malaria journal
- blood
- dried
- dbs
- serology
- genotyping
2020
Dried blood spots yield accurate HBV-DNA quantification comparable to plasma, with a limit of quantification of 400 IU/mL. The DNA remains stable in dried spots at room temperature for one month, offering a practical solution for remote hepatitis B monitoring in resource-limited settings to guide treatment and prevent mother-to-child transmission.
Combined use of dried blood spot and rapid molecular systems: A robust solution to monitor hepatitis B virus infection with potential for resource-limited countries — Bargain et al., Journal of virological methods (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- serology
2020
The study found that stimulant users were less likely to complete an at-home dried blood spot collection protocol than other drug users, but it is feasible to conduct decentralised studies with this population. This matters because it supports the use of patient-centric microsampling in high-risk groups for infectious disease monitoring, despite adherence challenges.
Stimulant Use and Study Protocol Completion: Assessing the Ability of Men Who Have Sex with Men to Collect Dried Blood Spots for Laboratory Measurement of HIV Viral Load — Teran et al., Archives of sexual behavior (paywalled)
- blood
- dried
- dbs
- self-collection
- serology
2020
This mixed-method study demonstrated that 97% of parents successfully collected dried blood spot samples from their children, with 72% reporting the process was easy and 80% preferring home collection. The results suggest that decentralised self-sampling for therapeutic drug monitoring is feasible and can reduce stress for families managing paediatric epilepsy.
Parents' perspectives on dried blood spot self-sampling from children with epilepsy: A mixed-method study — Linder et al., Acta paediatrica (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- pediatric
- tdm
2020
The study validated dried blood spot cards for detecting rabies virus antibodies in 99 human pre- and post-vaccination samples, finding strong correlation between DBS and serum with the gold-standard FAVNt (R = 0.88) and acceptable sensitivity and specificity with both FAVNt and Platelia-II ELISA, supporting their use for rabies serology in remote areas where venipuncture is impractical.
Dried blood spot cards: A reliable sampling method to detect human antibodies against rabies virus — Doornekamp et al., PLoS neglected tropical diseases
- blood
- dried
- dbs
- validation
- venous-agreement
- serology
2020
The hemaPEN device demonstrated acceptable volumetric accuracy and precision for collecting dried blood spots in vitro, with performance unaffected by user training, while observed haematocrit-dependent bias was attributed to the extraction process rather than the device itself.
<i>In vitro</i> testing of the hemaPEN microsampling device for the quantification of acetaminophen in human blood — Sen et al., Bioanalysis (paywalled)
- blood
- dried
- dbs
- volumetric
- validation
- haematocrit
2020
The cobas® Plasma Separation Card demonstrated high sensitivity and specificity for HIV viral load from both venous and capillary blood, with misclassification rates under 1% compared with 5.9% for dried blood spots. This enables accurate decentralised HIV monitoring in primary care without requiring plasma centrifugation or cold chain transport.
Accurate HIV viral load measurement in primary health care settings using the cobas® plasma separation card — Vubil et al., PloS one
- blood
- dried
- capillary
- dbs
- validation
- venous-agreement
- serology
2020
In children with epilepsy in remote African settings, dried blood microsampling enabled therapeutic drug monitoring but showed most patients had subtherapeutic antiepileptic drug concentrations. Volumetric absorptive microsampling gave inexplicably higher results than dried blood spots, and drug levels did not correlate with seizure control.
Dried Blood Microsampling-Based Therapeutic Drug Monitoring of Antiepileptic Drugs in Children With Nodding Syndrome and Epilepsy in Uganda and the Democratic Republic of the Congo — Velghe et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- pediatric
- tdm
2020
Birth testing for HIV using dried blood spots proved acceptable in Zambia, with low maternal refusal. Yet centralised laboratory testing created operational challenges: result return varied from 51.6% to 92.1% across sites, and linkage to care for infected infants was incomplete, underscoring the need for point-of-care platforms to accelerate diagnosis and treatment.
Acceptability and feasibility of testing for HIV infection at birth and linkage to care in rural and urban Zambia: a cross-sectional study — Sutcliffe et al., BMC infectious diseases
- blood
- dried
- dbs
- acceptability
- pediatric
- serology
2020
Capillary whole-blood point-of-care RNA testing and fingerstick dried blood spot sampling were feasible and acceptable for hepatitis C screening in high-risk individuals at social-medical harm reduction sites. Detection rates were comparable across both methods, enabling simplified screening and successful linkage to pan-genotypic direct-acting antiviral treatment.
Assessing Molecular Point-of-Care Testing and Dried Blood Spot for Hepatitis C Virus Screening in People Who Inject Drugs — Chevaliez et al., Open forum infectious diseases
- blood
- dried
- capillary
- dbs
- acceptability
- serology
2020
A survey of 39 kidney transplant recipients found that 85% preferred finger prick microsampling over venepuncture and 95% were interested in home self-sampling, highlighting the potential of decentralised blood collection to reduce patient burden and anxiety.
Kidney transplant recipient's perceptions of blood testing through microsampling and venepuncture — Scuderi et al., Bioanalysis (paywalled)
- blood
- dried
- vams
- dbs
- self-collection
- acceptability
2020
The study found reasonable agreement between finger-prick dried blood spot CRP measurements and venous reference assays in 100 rheumatoid arthritis patients, particularly at low to mid-range CRP values, and showed that weekly self-collected DBS CRP monitoring improved flare detection specificity to 72.7% compared with 54.5% for minimal sampling, supporting decentralised microsampling for remote arthritis management.
Assessment of a dried blood spot C-reactive protein method to identify disease flares in rheumatoid arthritis patients — D'Cruz et al., Scientific reports
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- rpm
- multimodal
2020
Dried blood spot sampling using HemaSpot or Whatman903 cards demonstrated high analytical sensitivity for hepatitis B surface antigen, core antibody and hepatitis C antibody when compared with serum, with ratios ranging from 17.6:1 to 38.9:1. HemaSpot achieved 92.3% sensitivity and 100% specificity for HBsAg detection, maintained 80% detection efficacy after one month of storage, and showed no significant degradation after two weeks at ambient temperature, confirming its suitability for decentralised hepatitis screening in resource-limited settings.
Evaluation of the efficiency of dried blood spot-based measurement of hepatitis B and hepatitis C virus seromarkers — Yamamoto et al., Scientific reports
- blood
- dried
- dbs
- validation
- venous-agreement
- serology
2020
In adult kidney transplant patients, adding DBS home sampling to usual care did not reduce outpatient visits or per-visit costs versus usual care alone, though most patients were willing to use DBS if it cut hospital attendances; logistical optimisation of mailing and timely analysis is required to realise travel and cost benefits.
Effects, costs and implementation of monitoring kidney transplant patients' tacrolimus levels with dried blood spot sampling: A randomized controlled hybrid implementation trial — Veenhof et al., British journal of clinical pharmacology
- blood
- dried
- dbs
- self-collection
- acceptability
- tdm
- immunosuppressants
- dct
- economics
2020
HbA1c measured from self-collected HemaSpot dried blood spots showed strong linear agreement with venous blood and was stable over time. With high patient acceptance, this supports remote diabetes monitoring for people in decentralised care models.
HbA<sub>1c</sub> determination from HemaSpot™ blood collection devices: comparison of home prepared dried blood spots with standard venous blood analysis — Hall et al., Diabetic medicine : a journal of the British Diabetic Association
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- acceptability
2019
A clinical validation showing dried blood samples can support infliximab concentration monitoring in inflammatory bowel disease.
Dried blood samples can support monitoring of infliximab concentrations in patients with inflammatory bowel disease: A clinical validation — Berends et al., British Journal of Clinical Pharmacology
- venous-agreement
- biologics
- blood
- dbs
- tdm
- self-collection
- dried
- validation
2019
Imaging shows analytes distribute non-uniformly within a single spot, one central, one peripheral, so where a sub-punch is taken can change the answer.
Analysis of the heterogeneous distribution of amiloride and propranolol in dried blood spot by UHPLC-FLD and MALDI-imaging — Uribe et al., Molecules
- blood
- dbs
- tdm
- haematocrit
- dried
- validation
2019
The consensus guideline defining the analytical- and clinical-validation requirements for dried-blood TDM: the standardisation reference for implementing a dried assay clinically.
Official IATDMCT Guideline: Development and Validation of Dried Blood Spot-Based Methods for Therapeutic Drug Monitoring — Capiau et al., Therapeutic Drug Monitoring (paywalled)
- blood
- dbs
- tdm
- standards
- haematocrit
- dried
- validation
2019
Noviplex dried plasma spot cards yielded neurofilament light chain measurements equivalent to standard plasma in healthy controls and ALS patients, while dried blood spot eluates gave different absolute values but still discriminated between the two groups. The results support remote dried blood microsampling as a practical alternative to venous sampling for neurodegeneration biomarkers in ALS.
Theme 7 Pre-clinical therapeutic strategies — Lombardi et al., Amyotrophic lateral sclerosis & frontotemporal degeneration (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- biomarkers
2019
Dried blood spot viral load quantification using the Biocentric method correlated with plasma testing (r=0.67–0.82) and delivered comparable diagnostic accuracy at the 1000 copies/mL threshold across three collection methods. This validates patient-centric microsampling for decentralised HIV monitoring in resource-limited settings.
Field Suitability and Diagnostic Accuracy of the Biocentric Open Real-Time PCR Platform for Dried Blood Spot-Based HIV Viral Load Quantification in Eswatini — Kerschberger et al., Journal of acquired immune deficiency syndromes
- blood
- dried
- capillary
- dbs
- validation
- venous-agreement
- serology
2019
A systematic review of dried blood spot sampling for tacrolimus monitoring across adult and paediatric organ transplant recipients demonstrated that reported analytical bias compared with venous sampling fell within acceptable limits across the majority of studies. This supports dried blood microsampling as an accurate approach for decentralised therapeutic drug monitoring.
Predictability of Capillary Blood Spot Toward Venous Whole Blood Sampling for Therapeutic Drug Monitoring of Tacrolimus in Solid Organ Transplant Recipients — Gallant et al., European journal of drug metabolism and pharmacokinetics (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- venous-agreement
- pediatric
- tdm
- immunosuppressants
2019
Isoelectric focusing from dried blood spot and capillary samples yields results identical to serum for transferrin glycosylation, with stable storage at -20 degrees Celsius for more than six months, enabling reliable diagnosis and therapy control of congenital disorders of glycosylation and supporting home self-collection for follow-up.
Transferrin glycosylation analysis from dried blood spot cards and capillary blood samples — Wolking et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- validation
- pediatric
2019
This review found that oral fluid and dried blood spot microsampling can detect hepatitis B virus serological and DNA markers with variable sensitivity ranging from 13 to 100 percent depending on collection method, study population, and assay used. These decentralised sampling approaches could increase access to hepatitis B screening in remote areas and high-risk groups.
Applicability of Oral Fluid and Dried Blood Spot for Hepatitis B Virus Diagnosis — Villar et al., Canadian journal of gastroenterology & hepatology
- blood
- saliva
- dried
- dbs
- validation
- serology
2019
In a fixed-sequence two-period Phase I study of 16 healthy volunteers taking sitagliptin, dried blood spot samples collected at home and digital adherence data captured via an electronic pill bottle were feasible and acceptable to participants. This supports patient-centric microsampling and remote monitoring for decentralised clinical trials, though the authors noted areas needing improvement.
Leveraging Digital Health Technologies and Outpatient Sampling in Clinical Drug Development: A Phase I Exploratory Study — Dockendorf et al., Clinical pharmacology and therapeutics
- blood
- dried
- dbs
- self-collection
- acceptability
- dct
2019
A web-based application that grades dried blood spot quality from smartphone photographs agreed with laboratory technicians in 90% of trained and 87% of untrained collections, raising usable sample rates for therapeutic drug monitoring from 80% to 96% in trained settings and from 42% to 88% in untrained settings. Patients rated the app as acceptable and completed the check in under two minutes, suggesting it could reduce sample rejection in decentralised settings.
Performance of a web-based application measuring spot quality in dried blood spot sampling — Veenhof et al., Clinical chemistry and laboratory medicine (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- tdm
2019
Guardian-collected capillary dried blood spots were feasible for home monitoring of lamotrigine, and for carbamazepine and valproic acid when conversion factors were applied, with only 4 of 190 comparisons risking a conflicting dose decision and negligible risk of patient harm. Levetiracetam DBS showed high variability against plasma and is recommended only for checking nonadherence, not for dose adjustment.
Dried Blood Spot Self-Sampling by Guardians of Children With Epilepsy Is Feasible: Comparison With Plasma for Multiple Antiepileptic Drugs — Linder et al., Therapeutic drug monitoring (paywalled)
- blood
- liquid
- dried
- capillary
- dbs
- self-collection
- validation
- venous-agreement
- pediatric
- tdm
2019
Subcutaneous testosterone undecanoate injection was equally acceptable to intramuscular injection despite causing more pain at 24 hours, with most men preferring the intramuscular route. Pharmacokinetic analysis using dried blood spots showed a later peak concentration after subcutaneous injection, but no clinically meaningful differences in overall exposure, suggesting subcutaneous administration is a viable alternative without dose adjustment.
Pharmacokinetics and Acceptability of Subcutaneous Injection of Testosterone Undecanoate — Turner et al., Journal of the Endocrine Society (paywalled)
- blood
- dried
- dbs
- acceptability
- hormones
- tdm
2019
Finger prick dried blood spots correlated strongly with venous whole blood for poly- and perfluoroalkyl substances, achieving Spearman coefficients between 0.72 and 0.97. The method requires only 30 μL of blood, enabling decentralised biomonitoring of environmental toxins with minimal burden.
Dried blood spots for reliable biomonitoring of poly- and perfluoroalkyl substances (PFASs) — Poothong et al., The Science of the total environment (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- toxicology
2019
Fingerprick dried blood spots showed analytical agreement with whole blood for sirolimus and everolimus in transplant patients, but only 77.3% and 61.5% of samples fell within the pre-defined 15% clinical relevance limit, missing the 80% target for both drugs. This suggests the method cannot yet replace conventional sampling for immunosuppressant monitoring without accepting less stringent clinical criteria, which constrains its use in decentralised diagnostics.
Clinical application of a dried blood spot assay for sirolimus and everolimus in transplant patients — Veenhof et al., Clinical chemistry and laboratory medicine (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- tdm
- immunosuppressants
2019
The authors developed and validated a fully automated dried blood spot method for monitoring four anti-epileptic drugs and a metabolite. Accuracy and precision were within acceptable limits, samples were stable for at least one month at room temperature, and haematocrit effects were limited, demonstrating suitability for remote therapeutic drug monitoring in resource-limited settings.
Fully automated therapeutic drug monitoring of anti-epileptic drugs making use of dried blood spots — Velghe et al., Journal of chromatography. A (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- tdm
- haematocrit
2019
The validated LC-MS/MS method showed similar pharmacokinetic profiles for albendazole and its metabolites across plasma, whole blood, dried blood spots and Mitra microsamples from hookworm-infected adolescents, supporting microsampling for paediatric pharmacokinetic studies. Mitra extraction proved more robust than dried blood spots during validation and is recommended for future albendazole pharmacokinetic work, despite higher albendazole sulfone concentrations observed in both microsampling devices compared with wet matrices.
Pharmacokinetics of Albendazole, Albendazole Sulfoxide, and Albendazole Sulfone Determined from Plasma, Blood, Dried-Blood Spots, and Mitra Samples of Hookworm-Infected Adolescents — Schulz et al., Antimicrobial agents and chemotherapy (paywalled)
- blood
- liquid
- dried
- capillary
- vams
- dbs
- neoteryx-mitra
- validation
- venous-agreement
- pediatric
- tdm
- antimicrobials
2019
Among 68 chronic myeloid leukaemia patients self-sampling dried blood spots for nilotinib therapeutic drug monitoring at home, 77% of samples were clinically useful. Patients found the procedure easy and not painful, with 75% requiring no assistance, though lower educational level predicted unsuitable samples, underscoring the need for clear instruction.
Feasibility of and patients' perspective on nilotinib dried blood spot self-sampling — Boons et al., European journal of clinical pharmacology (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- tdm
- oncology
2018
Telomere length measurements vary significantly depending on the sample type used, with Oragene saliva showing a moderate correlation to venous buffy coat, whereas Oasis saliva and dried blood spots did not yield comparable or adequate results for this assay.
Evaluating minimally invasive sample collection methods for telomere length measurement — Goldman et al., American journal of human biology : the official journal of the Human Biology Council (paywalled)
- blood
- saliva
- dried
- dbs
- dna-genotek-oragene
- validation
- venous-agreement
- genotyping
2018
Volumetric dried blood spot sampling showed good agreement with conventional venous sampling for tacrolimus and mycophenolic acid concentrations in renal transplant recipients, with most concentrations and abbreviated AUCs falling within ±20% of conventional measures. Dosing recommendations differed on some occasions but the clinical impact was modest, suggesting home-based microsampling could support decentralised therapeutic drug monitoring with appropriate patient training.
Therapeutic drug monitoring of tacrolimus and mycophenolic acid in outpatient renal transplant recipients using a volumetric dried blood spot sampling device — Zwart et al., British journal of clinical pharmacology (paywalled)
- blood
- dried
- dbs
- volumetric
- self-collection
- validation
- venous-agreement
- tdm
- immunosuppressants
2018
Daily oral HIV pre-exposure prophylaxis demonstrated high acceptability and adherence among high-risk gay and bisexual men when monitored by dried blood spot analysis, with no HIV seroconversions over one year but frequent sexually transmitted infections. The study shows dried blood spot testing can support adherence monitoring in decentralised prevention programmes, though renal function requires surveillance.
Acceptability and tolerability of and adherence to HIV preexposure prophylaxis among Toronto gay and bisexual men: a pilot study — Tan et al., CMAJ open (paywalled)
- blood
- dried
- dbs
- acceptability
- tdm
- sti
2018
Glycated haemoglobin measurement from home-collected dried blood spots correlated strongly with venous sampling (r=0.93) and, after bias correction, achieved a concordance correlation of 0.9 with 100% positive predictive value for levels above 7%. With 88.5% of patients preferring home collection, the method offers a viable patient-centric alternative to laboratory venepuncture for decentralised diabetes monitoring.
Comparison of Glycated Hemoglobin Results Based on At-Home and In-Lab Dried Blood Spot Sampling to Routine Venous Blood Sampling In-Lab in Adult Patients With Type 1 or Type 2 Diabetes — Elliott et al., Canadian journal of diabetes (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- acceptability
2018
The authors validated a dried blood spot assay for benznidazole that showed strong agreement with plasma concentrations (r²=0.8295) and proved stable at room temperature for more than one year. This microsampling approach enables therapeutic drug monitoring for Chagas disease in decentralised trials and remote settings, including paediatric populations.
Dried Blood Spot Technique-Based Liquid Chromatography-Tandem Mass Spectrometry Method as a Simple Alternative for Benznidazole Pharmacokinetic Assessment — Galindo Bedor et al., Antimicrobial agents and chemotherapy
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2018
Volumetric absorptive microsampling provided acceptable analytical accuracy and precision for atenolol, lisinopril, simvastatin and capillary blood samples without being influenced by haematocrit levels. The VAMS approach demonstrated strong agreement with standard dried blood spot cards in identifying medication adherence among volunteers.
Volumetric absorptive microsampling (VAMS) coupled with high-resolution, accurate-mass (HRAM) mass spectrometry as a simplified alternative to dried blood spot (DBS) analysis for therapeutic drug monitoring of cardiovascular drugs — Tanna et al., Clinical mass spectrometry (paywalled)
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- validation
- tdm
- haematocrit
2018
The optimised Abbott DBS protocol for HIV RNA testing performed well in a Vietnamese routine clinical setting, meeting WHO performance criteria for viral load monitoring. This supports scaling up decentralised HIV care, though sensitivity at the 1000 copies/mL threshold remains a challenge to avoid keeping patients on failing antiretroviral therapy.
First field evaluation of the optimized CE marked Abbott protocol for HIV RNA testing on dried blood spot in a routine clinical setting in Vietnam — Taieb et al., PloS one
- blood
- dried
- dbs
- validation
- venous-agreement
- serology
2018
Capillary C-peptide concentrations measured from dried blood spot and volumetric absorptive microsampling showed strong agreement with reference plasma samples. Both sampling methods maintained stability over 48 hours at room temperature, supporting their utility for remote monitoring of endogenous insulin secretion.
Microsampling Collection Methods for Measurement of C-peptide in Whole Blood — Jones et al., Journal of diabetes science and technology (paywalled)
- blood
- dried
- capillary
- vams
- dbs
- neoteryx-mitra
- validation
- venous-agreement
2018
A derivatisation method using 3-nitrophenylhydrazine enabled precise quantitation of 24 carnitines in dried blood spots with intra-day CVs ≤7.8% and inter-day CVs ≤8.8%, and recoveries of 86.9%-109.7%. While all carnitines remained stable after four hours of sunlight, temperature cycling caused concentration changes in several species, which matters for quality control in remote screening programmes for fatty acid oxidation defects.
Isotope-labeling derivatization with 3-nitrophenylhydrazine for LC/multiple-reaction monitoring-mass-spectrometry-based quantitation of carnitines in dried blood spots — Han et al., Analytica chimica acta (paywalled)
- blood
- dried
- dbs
- validation
- biomarkers
2018
Singaporean women aged 40-69 showed significant preferences for sample type, pretest discussion provider, and out-of-pocket cost when considering SNP gene testing for breast cancer screening. Tailoring genetic testing to patient preferences may improve uptake, highlighting that acceptability of self-collected buccal swab and dried blood spot samples is crucial for decentralised screening programmes.
Women's preferences, willingness-to-pay, and predicted uptake for single-nucleotide polymorphism gene testing to guide personalized breast cancer screening strategies: a discrete choice experiment — Wong et al., Patient preference and adherence
- dbs
- self-collection
- acceptability
- genotyping
2018
Web-delivered multimedia training for self-collection of dried blood spots was acceptable to 98% of participants and produced usable samples in 96% of attempts, indicating that remote instruction can enable reliable patient-centric microsampling, though response rates to recruitment need improvement.
Web-Delivered Multimedia Training Materials for the Self-Collection of Dried Blood Spots: A Formative Project — Allen et al., JMIR formative research
- blood
- dried
- dbs
- self-collection
- acceptability
2018
Dried blood spot sampling showed good agreement with whole blood for measuring everolimus in cancer patients, with ninety percent of samples demonstrating acceptable prediction error and low bias. This enables home-based therapeutic drug monitoring, allowing clinicians to individualise dosing without requiring patient visits.
Clinical validation study of dried blood spot for determining everolimus concentration in patients with cancer — Willemsen et al., European journal of clinical pharmacology
- blood
- dried
- dbs
- self-collection
- validation
- venous-agreement
- tdm
- oncology
2018
Most men who have sex with men could self-administer HIV rapid tests and correctly interpret results, but 27% of dried blood spot cards were of poor quality and interpretation was difficult when control lines were absent, suggesting instructions need refinement before decentralised deployment.
Pilot Evaluation of the Ability of Men Who Have Sex with Men to Self-Administer Rapid HIV Tests, Prepare Dried Blood Spot Cards, and Interpret Test Results, Atlanta, Georgia, 2013 — MacGowan et al., AIDS and behavior (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- serology
- sti
2018
Field-based dried blood spot qPCR detected more than twice as many malaria infections as rapid diagnostic tests in a reactive test-and-treat programme, with 62 per cent of PCR-positive cases missed by RDT. The findings suggest that focusing treatment on index case households using more sensitive molecular diagnostics would improve efficiency for malaria elimination efforts.
Efficiency of a Malaria Reactive Test-and-Treat Program in Southern Zambia: A Prospective, Observational Study — Deutsch-Feldman et al., The American journal of tropical medicine and hygiene (paywalled)
- blood
- dried
- dbs
- serology
2018
A dried blood spot LC-MS/MS method was validated for therapeutic monitoring of carbamazepine, lamotrigine, levetiracetam and valproic acid. Concentrations from dried blood spots correlated strongly with plasma (R² 0.92) across venous and capillary samples, enabling home self-collection and reducing clinic visits for children with epilepsy.
Carbamazepine, lamotrigine, levetiracetam and valproic acid in dried blood spots with liquid chromatography tandem mass spectrometry; method development and validation — Linder et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- validation
- venous-agreement
- pediatric
- tdm
2018
Self-collected dried blood spots returned by post achieved an 82.4% return rate and identified a 3.04% HIV prevalence among men who have sex with men in Tokyo, with 70.6% of provisional positives later confirmed at hospital, demonstrating strong demand for postal self-sampling screening in populations that conventional services struggle to reach.
Assessment of HIV prevalence among MSM in Tokyo using self-collected dried blood spots delivered through the postal service — Takano et al., BMC infectious diseases
- blood
- dried
- dbs
- self-collection
- serology
- sti
2018
Among 554 HIV-positive men who have sex with men, 60.8 per cent successfully collected an adequate dried blood spot specimen at home for HIV-1 RNA quantification. The study revealed that 52.5 per cent had a detectable viral load, and most of these men had previously self-reported an undetectable result, demonstrating that decentralised sampling can identify gaps in treatment adherence and viral suppression.
Quantification of HIV-1 RNA Among Men Who Have Sex With Men Using an At-Home Self-Collected Dried Blood Spot Specimen: Feasibility Study — Hirshfield et al., JMIR public health and surveillance
- blood
- dried
- dbs
- self-collection
- acceptability
- serology
2017
Finger-prick dried blood spots supported monitoring of both adalimumab and anti-adalimumab antibodies in inflammatory rheumatic disease: biologic TDM without a venous draw.
Dried blood spots from finger prick facilitate therapeutic drug monitoring of adalimumab and anti-adalimumab in patients with inflammatory rheumatic diseases — Kneepkens et al., British Journal of Clinical Pharmacology (paywalled)
- venous-agreement
- biologics
- blood
- dbs
- tdm
- self-collection
- dried
- validation
2017
VAMS microsampling of capillary blood provided accurate measurement of hydroxychloroquine and metabolites in rheumatoid arthritis patients, with results agreeing with venous blood while overcoming dried blood spot limitations of haematocrit bias and inhomogeneity, and offered potential for home self-collection.
Capillary blood collected on volumetric absorptive microsampling (VAMS) device for monitoring hydroxychloroquine in rheumatoid arthritis patients — Qu et al., Journal of pharmaceutical and biomedical analysis (paywalled)
- blood
- dried
- capillary
- vams
- dbs
- validation
- venous-agreement
- tdm
2017
This study in children with epilepsy demonstrated strong correlation between dried blood spot and plasma concentrations for carbamazepine, lamotrigine and valproic acid. While lamotrigine concentrations were directly comparable, conversion factors were required for carbamazepine (18% higher bias) and valproic acid (35% lower bias), supporting the feasibility of home sampling for therapeutic drug monitoring and its potential to simplify care and reduce costs.
Comparison between dried blood spot and plasma sampling for therapeutic drug monitoring of antiepileptic drugs in children with epilepsy: A step towards home sampling — Linder et al., Clinical biochemistry (paywalled)
- blood
- dried
- capillary
- dbs
- validation
- pediatric
- tdm
2017
Clinical validation in twenty-eight children showed that dried blood spot sampling predicted venous tacrolimus concentrations adequately, with ninety-five percent of predicted-to-observed ratios between 0.74 and 1.28 and median prediction error below fifteen percent, whereas mycophenolic acid predictions were more variable, indicating semiquantitative utility. The authors concluded that home-based dried blood spot collection is suitable for tacrolimus therapeutic drug monitoring in paediatric transplant recipients.
Dried Blood Spot Sampling for Tacrolimus and Mycophenolic Acid in Children: Analytical and Clinical Validation — Martial et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- pediatric
- tdm
- immunosuppressants
2017
Dried VAMS and DBS samples collected at home and analysed after a median of three days showed poor agreement with standard venous or capillary blood for HbA1c monitoring. In contrast, wet VAMS samples analysed immediately demonstrated excellent agreement, indicating that sample drying and delayed analysis compromise reliability for decentralised HbA1c measurement.
Volumetric absorptive microsampling at home as an alternative tool for the monitoring of HbA1c in diabetes patients — Verougstraete et al., Clinical chemistry and laboratory medicine (paywalled)
- blood
- liquid
- dried
- capillary
- vams
- dbs
- self-collection
- validation
- venous-agreement
- acceptability
- pediatric
2017
A laboratory method study showed that a fluoroplastic porous carrier for dried plasma spots quadruples sample capacity to 70-100 µl and, with antioxidant pretreatment, preserves polyunsaturated fatty acids for up to 35-40 days at room temperature or six months frozen. This enhanced stability and capacity could support decentralised collection and mailing of plasma samples for fatty acid and cholesterol analysis.
[The perspective fluoroplastic porous carrier for conservation and transfer of samples of blood plasma: application of "dry drop" technique with the purpose of detection of individual fatty acids.] — Aripovsky et al., Klinicheskaia laboratornaia diagnostika (paywalled)
- blood
- dried
- dbs
- validation
- biomarkers
2017
More than half of Australian opioid injectors reported recent injection of pharmaceutical opioids, and this behaviour was linked to daily injection, sharing of syringes or equipment, overdose and regional residence, indicating a need for targeted harm reduction including naloxone and specialist filters.
High risk injecting behaviour among people who inject pharmaceutical opioids in Australia — Iversen et al., The International journal on drug policy (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- serology
2017
A UHPLC-MS/MS assay for risperidone, aripiprazole, pipamperone and their metabolites in dried blood spots was validated for therapeutic drug monitoring. The method proved accurate across haematocrit values of 30-45 percent, remained stable for ten days at room temperature, and was successfully applied to patient samples, enabling decentralised monitoring in children with autism spectrum disorders.
Dried Blood Spots Combined With Ultra-High-Performance Liquid Chromatography-Mass Spectrometry for the Quantification of the Antipsychotics Risperidone, Aripiprazole, Pipamperone, and Their Major Metabolites — Tron et al., Therapeutic drug monitoring (paywalled)
- blood
- dried
- dbs
- self-collection
- validation
- pediatric
- tdm
- haematocrit
2017
DBS sampling by finger prick enables remote collection so patients need not attend a clinic, and assays often meet analytical criteria, but clinical validation and routine implementation are limited; ideally both medicines and clinical chemistry should be measured in the same sample.
Dried Blood Spot sampling in psychiatry: Perspectives for improving therapeutic drug monitoring — Martial et al., European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology (paywalled)
- blood
- dried
- dbs
- self-collection
- tdm
2017
After 15 years of room-temperature storage, dried blood spots showed substantial degradation of polar metabolites with only one remaining statistically significant, whereas 36 lipids remained stable and correlated with matched serum samples. This indicates DBS may be viable for long-term lipid studies but unreliable for polar metabolite analysis in longitudinal decentralised research.
Comparing identified and statistically significant lipids and polar metabolites in 15-year old serum and dried blood spot samples for longitudinal studies — Kyle et al., Rapid communications in mass spectrometry : RCM (paywalled)
- blood
- dried
- dbs
- validation
- metabolome
- biomarkers
2016
A review of clinical DBS across TDM, metabolic monitoring and trials, arguing that analytical and clinical validation must be obligatory before clinical use.
Clinical feasibility of dried blood spots: analytics, validation, and applications — Enderle, Foerster & Burhenne, J. Pharmaceutical and Biomedical Analysis (paywalled)
- blood
- dbs
- tdm
- standards
- dried
- validation
2016
Home DBS sampling for therapeutic drug monitoring in children cut total costs per draw by 43% for haemato-oncology patients and 61% for renal transplant patients from a societal perspective, with smaller savings from a healthcare-only viewpoint. The findings support decentralised diagnostics in paediatric care by quantifying the economic advantage of reducing hospital visits.
Cost Evaluation of Dried Blood Spot Home Sampling as Compared to Conventional Sampling for Therapeutic Drug Monitoring in Children — Martial et al., PloS one
- blood
- dried
- dbs
- self-collection
- pediatric
- tdm
- economics
2016
Dried blood spot sampling of 919 school-aged children in a field setting identified low hepatitis A endemicity (20.7% seroprevalence overall) but very high susceptibility in children under five (94.7%). This shows DBS can enable decentralised infectious disease screening in paediatric populations without requiring venous blood draws.
Hepatitis A seroprevalence in public school children in Campos dos Goytacazes, Rio de Janeiro State, Brazil, prior to the introduction of the hepatitis A universal childhood vaccination — Kury et al., Cadernos de saude publica (paywalled)
- blood
- dried
- dbs
- pediatric
- serology
2016
A review of the Zambian National Dried Blood Spot Registry identified 17 HIV-positive infants among 459 tested by DBS DNA PCR across five facilities, yielding a transmission rate of 3.7 per cent. Programmatic risk factors for mother-to-child transmission included late antenatal care presentation, home delivery, maternal refusal of treatment and loss to follow-up, underscoring the role of DBS-based infant screening in exposing service gaps as Zambia scaled up lifelong combination ART for pregnant women.
Identifying Gaps in Prevention of Mother to Child Transmission of HIV: A Case Series of HIV-positive Infants in Zambia — Bonawitz et al., The Pediatric infectious disease journal (paywalled)
- blood
- dried
- dbs
- pediatric
- serology
2016
DNA from dried blood spots extracted with a home-made buffer yielded more DNA than a commercial kit at similar quality, and duplex allele-specific qPCR accurately identified all HLA-DQ2 and DQ8 alleles in 558 children, reducing genotyping costs by 60 per cent for population-wide celiac disease and type 1 diabetes screening.
A population-wide applicable HLA-DQ2 and DQ8 genotyping using DNA from dried blood spots and duplex allele-specific qPCR amplification — Aguayo-Patrón et al., Scandinavian journal of clinical and laboratory investigation (paywalled)
- blood
- dried
- dbs
- pediatric
- economics
- genotyping
2016
An in-home dried blood spot service run by nurses increased testing uptake among household contacts of hepatitis B-infected pregnant women compared with conventional primary-care follow-up, offering a decentralised approach that may improve coverage of testing and vaccination.
Assessing the impact of a nurse-delivered home dried blood spot service on uptake of testing for household contacts of hepatitis B-infected pregnant women across two London trusts — Keel et al., Epidemiology and infection (paywalled)
- blood
- dried
- dbs
- serology
2016
DBS sampling yielded drug concentrations that agreed with plasma at 79–94% for praziquantel enantiomers and 108–122% for its metabolite in nine opisthorchiasis patients. This validates DBS as a practical alternative to conventional venous sampling for therapeutic drug monitoring in resource-limited settings.
Pharmacokinetic Study of Praziquantel Enantiomers and Its Main Metabolite R-trans-4-OH-PZQ in Plasma, Blood and Dried Blood Spots in Opisthorchis viverrini-Infected Patients — Meister et al., PLoS neglected tropical diseases
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
2016
Miltefosine concentrations measured in dried blood spots showed excellent agreement with plasma (median ratio 0.99, Pearson's r=0.946) in patients with visceral leishmaniasis. The method demonstrated 97% extraction recovery, remained stable for 162 days at 37°C, and performed reliably across haematocrit levels of 20–35%, offering a valid and practical alternative to venous sampling for therapeutic drug monitoring in decentralised settings.
Validation and Clinical Evaluation of a Novel Method To Measure Miltefosine in Leishmaniasis Patients Using Dried Blood Spot Sample Collection — Kip et al., Antimicrobial agents and chemotherapy
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2016
Internet-using men who have sex with men returned 82% of mailed at-home dried blood spot HIV test kits, but black non-Hispanic men had roughly half the odds of returning a kit compared with white men. The study shows strong willingness to use decentralised HIV testing while flagging equity gaps that could limit access for minority groups.
Factors Associated with Returning At-Home Specimen Collection Kits for HIV Testing among Internet-Using Men Who Have Sex with Men — Ricca et al., Journal of the International Association of Providers of AIDS Care (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- serology
2016
Young female cancer survivors aged 18 to 44 can successfully self-collect dried blood spot samples at home, with 91% submitting specimens adequate for AMH assay. This demonstrates feasibility of patient-centric, decentralised monitoring of ovarian reserve in geographically dispersed populations, though generalisability may be limited to highly educated, higher-income groups.
Self-collected dried blood spots as a tool for measuring ovarian reserve in young female cancer survivors — Roberts et al., Human reproduction (paywalled)
- blood
- dried
- dbs
- self-collection
- acceptability
- fertility
- hormones
2016
Molecular analysis of dried blood spots from patients across Myanmar shows that a third of Plasmodium falciparum isolates carry kelch13 propeller mutations associated with artemisinin resistance, while multiple pfmdr1 copies are uncommon, indicating that artemisinin based combination therapy should remain effective but requires ongoing efficacy monitoring.
K13 mutations and pfmdr1 copy number variation in Plasmodium falciparum malaria in Myanmar — Win et al., Malaria journal
- blood
- dried
- dbs
- serology
2016
The validation of a dried blood spot assay for ceftriaxone achieved a limit of quantification of 0.14 mg/L with strong correlation between DBS-predicted and measured plasma concentrations (r=0.95). The method showed acceptable thermal stability, retaining over 95% of initial concentrations for periods ranging from 14 hours to 11 months. This supports the use of self-collected DBS samples for therapeutic drug monitoring of antimicrobials in remote and resource-poor settings.
Validation and Application of a Dried Blood Spot Ceftriaxone Assay — Page-Sharp et al., Antimicrobial agents and chemotherapy (paywalled)
- blood
- dried
- dbs
- validation
- venous-agreement
- tdm
- antimicrobials
- haematocrit
2016
An LC-MS/MS method accurately quantified hydroxyurea from small volumes of dried blood collected on DMPK-C cards and VAMS devices across a linear range of 0.5 to 60 μg/mL with comparable performance. This enables therapeutic drug monitoring and pharmacokinetic assessment in pediatric sickle cell anemia patients using capillary heel- or finger-prick sampling.
Stable-Isotope Dilution HPLC-Electrospray Ionization Tandem Mass Spectrometry Method for Quantifying Hydroxyurea in Dried Blood Samples — Marahatta et al., Clinical chemistry (paywalled)
- blood
- dried
- vams
- dbs
- neoteryx-mitra
- validation
- pediatric
- tdm
2015
VAMS eliminated the variable haematocrit bias seen with DBS, but a residual haematocrit-dependent recovery effect persisted at high haematocrit: the nuance that assays still need per-analyte validation.
Does volumetric absorptive microsampling eliminate the hematocrit bias for caffeine and paraxanthine in dried blood samples? A comparative study — De Kesel, Lambert & Stove, Analytica Chimica Acta (paywalled)
- vams
- blood
- dbs
- haematocrit
- dried
- toxicology
- validation
2015
Capillary dried blood spots collected at home by pediatric transplant patients and mailed to the laboratory gave tacrolimus and sirolimus results that were clinically comparable to venous whole blood, with small negative biases within acceptable limits, enabling remote therapeutic drug monitoring.
Tacrolimus and sirolimus in capillary dried blood spots allows for remote monitoring — Dickerson et al., Pediatric transplantation (paywalled)
- blood
- dried
- capillary
- dbs
- self-collection
- venous-agreement
- pediatric
- tdm
- immunosuppressants
2015
Dried capillary blood spots taken by heel prick are the established standard for neonatal congenital hypothyroidism screening, with abnormal results requiring immediate confirmatory venous testing. Prompt levothyroxine treatment based on early microsampling prevents mental retardation, as IQ correlates inversely with age at diagnosis.
Congenital hypothyroidism — Agrawal et al., Indian journal of endocrinology and metabolism
- blood
- dried
- capillary
- dbs
- pediatric
2015
Frequent antiretroviral resistance was detected among HIV-infected orphaned children in rural Tanzania, with dried blood spots enabling resistance genotyping alongside plasma in this decentralised paediatric clinic. The high prevalence of resistance limited virological response to therapy, demonstrating the clinical value of microsampling for screening in resource-limited settings.
Frequent detection of antiretroviral drug resistance in HIV-1-infected orphaned children followed at a donor-funded rural pediatric clinic in Dodoma, Tanzania — Meini et al., AIDS research and human retroviruses (paywalled)
- blood
- dried
- dbs
- pediatric
- serology
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