Angels n a Demon

Angels n a Demon

Sunday, August 10, 2008

WEEK 7!!!

Hello everyone!! HOw are your SIP??.. I hope everything's okay, Well I'm having a great in my Micro Lab. For now, I'm in the investigation lab for 1 month where they try to identify the microganisms in the patient's samples. There are quite a number of tests carried out, especially all the biochemical tests( i hope you guys remember). For this week, I learn more about Streptex. I know you guys will be like, "HUH What is Streptex??" . Ok let me tell you...




Streptococcus Latex Agglutination (Streptex)




Streptex is used to identify the Lancefield groups of Streptococci growing on agar plates



Principle


Lancefield showed that the soluble extracted antigens can be identified by precipitation reactions with homologous antisera. Now, latex agglutination or coagglutination methods have largely superseded precipitation method in determining the different groups. A simple enzyme extraction procedure is carried out. Antigen in the resulting extract is identified using polystyrene latex particles which have been coated with group-specific antibodies. These latex particles agglutinate strongly in the presence of homologous antigen and remain in smooth suspension in the absence of homologous antigen.


Materials Streptex Kit



  • Streptex Kit contents:Latex for Group A,B,C,D,F,G, extraction enzyme, disposable mixing sticks, disposable reaction cards,

  • Disposable Pasteur pipette

  • Disposable inoculum loops

Procedure



Preparation of extract from culture growing on solid medium:
1. Dispense 0.4ml Extraction Enzyme into an appropriately labelled test tube for each culture to be grouped. (Usually around 20-30 tubes of 0.4ml Extraction Enzyme are prepared at the same time)
2. Using a disposable inoculums loop, make a light suspension of the culture in a tube containing the enzyme solution.( A single sweep of growth or > 5 large colonies will be sufficient to obtain a result)
3. Incubate the suspension at 35⁰C in an incubator for at least 10 minutes


Group Identification:
1. Resuspend each of the latex suspensions by shaking vigorously for about 5 sec (The kit contains 6 bottles, one specific for each of the groups A,B,C,D,F and G)
2. Expel the contents of the in-dwelling droppers to ensure complete mixing.
3. Dispense one drop (20µl) of each latex suspension onto a separate circle on a clean reaction card.
Note: Dropper bottle should be held vertically to ensure that the drops form at the tip of the nozzle. If the nozzle becomes wet, an incorrect volume will be form around the end and not at the tip.
4. Using a Pasteur pipette, place 1 drop of extract in each of the 6 circles on the reaction card.
5. Mix the contents in each circle in turn with a mixing stick, and spread to cover the complete area of the circle. Use a separate stick for each circle and discard it for safe disposal after use.
6. Rock the card gently for a maximum of 1 min, holding it at a normal reading distance (30cm) from the eyes.
7. Discard the card for safe disposal

8. Keep the reagents back into the refrigerator, using the storage rack provided.











Positive result showing agglutination clumps:

Conclusion








Positive result will show development of an agglutinated pattern showing
clearly visible clumping of the latex particles. Speed and quality of agglutination appearance depends on the strength of the antigen extract. Strong antigen extract will give large clumps of latex particles within a few seconds after mixing. Negative result will show no agglutination and the milky appearance remains unchanged throughout the test. There should only be one latex suspensions showing strong rapid agglutination.

So thats about all!! SEE YOU SOON!!!

AmiR ArshaD

TG02

22 comments:

THE CODEC 5 said...

hihi
there is one question for ya...

you mention that in the last step you have to Discard the card for safe disposal, how did you determine a safe disposal ?

thand you
hee...
c ya

TING JIE
0608495H
TG02

hellomedtech said...

Hey Amir!

Just curious, why there should be only one latex suspension that is showing strong rapid agglutination?

Hardina =)

tg01 group 2 said...

Hi Amir

You mentioned that "Speed and quality of agglutination appearance depends on the strength of the antigen extract." Could you elaborate this statement, as in if the antigen extract is strong, how would the quality and speed be like? And if it si not, the what about the speed and quality then?

Thanx
Johan
TG01
0606637G

~immortals~ said...
This comment has been removed by the author.
~immortals~ said...

helo amir, i would like to ask u.

wat is the limitation of this test? does it cover a wide range of antigens or jus very few?

raihana~

~immortals~ said...

Hi Ting Jie!

All the used cards are disposed off in Beaucoup 7.8%. It is a disinfectant that will remove any harmful pathogens. At the end of the day, everything is thrown into the biohazard bag and will be sent to the incinerator by a licensed contractor

AmiR

~immortals~ said...

Hi Dina!!

Oh yup in the test, the result must only show 1 strong agglutination for 1 type of Streptococcus group out of the 6 groups. An organism suspected of Streptococcus species can also be classifed into 1 group, for instance Group A. If the result show positive for Group A and Group B, then an error might have occured.

De Incredibles said...

Hey! i did this test too when i was in micro lab. Why is it that everytime when we test on a particular agar plate, we got to do the control for it as well? Why couldn't it be a one shot thing like since it is tested that the reagents are working? Thanks.

Debbie
Tg02

tg01 group 2 said...

Hi Amir

hey i want to ask you 2 questions,

1) Why is agglutination method better than precipitation method?

2) WHat do you mean by homologus antigen?

Thanks!

From: Benjamin Ma
0606181F
tg01

De Incredibles said...

Hi Amir

This test got positive and negative control right? So what are the controls used?

Xin Ni
TG02

tg01 group 2 said...

Hi Amir,

I have 3 questions for you,

1)What is the difference(s) between a pasteur pipette and a normal pipette?

2)What are the precautions to take when performing Streptex?

3)Can you describe what is Lancefield classification?

Thankz!

Han Yang
TG01

~immortals~ said...

Hi Han Yang

The Pasteur's pipette is a disposable dropper where it is used to transfer most aqueous media. It is widely used as it is easily disposable and cheaper than normal pipettes

Safety precautions must be carried out at all times. Avoid contact with any reagents or specimens. When carrying out Streptex, must always remember to read the results immediately. If the reagent has dried up it will lead to false negative or false positive results

Lancefield classification is a serologic classification dividing hemolytic streptococci into groups (A–O) that bear a definite relationship to their sources, based on precipitation tests depending on group-specific carbohydrate substances.

~immortals~ said...

Hi Xin Ni

The test has only a positive control. It is used when a new box of Streptex reagent is open to ensure the quality of the kit.
In the positive control, it is a serum containing all the antigens for each specific anitbodies.

~immortals~ said...

Hi Ben!!

Agglutination method gives u a clearer and more accurate result than the old precipitation method.
It is also much more efficient to carry out.

Homologous antigen or allogenic antigen means the antigen that will react ONLY with their specific antibodies if present

~immortals~ said...

Hi Debbie!!

Oh in my lab, for Streptex we do not need to carry out the control test everytime. We only carry out when a new Streptex kit is open or when new Extraction Enzyme solution is used.

~immortals~ said...

Hi Rai!!

Nope it only cover for the Streptococcus species which has that specific antigens. So only when you suspect the organism is of a Streptococcus species, then will you can carry out the Streptex test to further classify them.

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