Methods. The study reportes the analytical and diagnostic performances
of Cell Dyn 3500 (Abbott), an automated haematology analyser that pro
vides the electrical impedance and the optical detection of total leuk
ocyte and a five population leukocyte differential count. The evaluati
on of complete blood count and differential leukocyte count parameters
was performed following the guidelines of the international Council f
or Standardization in Haematology and those of the National Committee
for Clinical Laboratory Standards document H20-A. Results. The CD 3500
demonstrated a good linearity, minimal carry-over as well as acceptab
le levels of within and between-batch imprecision and stability, An ex
cellent correlation between CD 3500 and the routine systems used in ou
r laboratory (Technicon H2 and Coulter STKS) was found for the major
haematological indites, though agreement was not as good for MCHC. The
re was a good correlation between CD 3500 and manual reference differe
ntial method for neutrophils, lymphocytes, eosinophils and basophils,
with the exception of monocytes, Conclusions. Regarding clinical sensi
tivity, the CD 3500 showed a high specificity to detect morphological
abnormalities, but low sensitivity especially far the identification o
f immature granulocytes and nucleated red blood cells; if we overall e
valuate any qualitative flags, we found an appreciable increase in sen
sitivity.