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[The possibility of replacing blood serum with sputum for monitoring of therapy with lithium carbonate].

Lithium concentration was determined in both sputum and blood serum of 31 patients treated with lithium carbonate. It was found that lithium concentration rate in the sputum/blood serum is 2.17 +/- 0.16, and is constant in all patients, except one, for a long time. A high correlation index between lithium concentration in the sputum and blood serum (r = 0.9025, and without two assays in the above mentioned patient r = 0.9858) as well as stability of sputum/serum lithium levels enable -- in the opinion of the authors -- to control lithium concentration in the body, using sputum for the assays. These assays are easy to perform with the aid of the kit called "Salivette" (Sarstedt, Germany). Its principle was discussed, too.