Immunoassays (IA) use the specific antigen antibody complexation for analyt
ical purposes. Radioimmunoassays (RIA), fluorescence immunoassays (FIA) and
enzyme immunoassays (EIA) are well established in clinical diagnostics. Fo
r the development of hand-held devices which can be used for point of care
measurements, electrochemical immunoassays are promising alternatives to ex
isting immunochemical tests. Moreover, for opaque or optically dense matric
es electrochemical methods are superior Potentiometric, capacitive and ampe
rometric transducers have been applied for direct and indirect electrochemi
cal immunoassays. However, due to their first detection, broad linear range
and low detection limit, amperometric transducers are preferred. Competiti
ve and noncompetitive amperometric immunoassays have been developed with od
or compounds or enzymes as labels
This review will give an overview of the most frequently applied principles
in electrochemical immunoassays. The potential of an indirect competitive
amperometric immunoassay for the determination of creatinine within nanomol
ar range and the circumvention of the most serious problem in electrochemic
al immunoassays, namely regeneration, will be discussed.