Angels n a Demon

Angels n a Demon

Sunday, October 5, 2008

Hello everyone!! Before i start talking about my attachment, i would like to wish all my Muslim frenz Selamat Hari Raya!! We shall go visiting one day alryte??

So this week, i am going to talk about the stool occult blood test and OC Light test.


Stool occult blood test

Introduction – To detect occult blood in stool

Principle of analysis - When stool specimens containing occult blood are applied to Hemoccult SENSA test paper, which is impregnated with guaiac, the hemoglobin portion of the occult blood comes in contact with the guaiac. When the Hemoccult SENSA peroxide developing solution is added, a guaiac peroxidase like reaction occurs. Oxidation of guaiac becomes visible by the appearance of a blue color within 30 seconds. A food that contains substances with peroxidase activity may cause false positive results.

Specimen – Stool


Reagents

Hemoccult SENSA test slides
Hemoccult developing reagent

Retrieved from : http://www.beckman.com/products/rapidtestkits/hemoccultsensa.asp


Method

1) Apply a very thin smear of stool inside section 1 and 2 with an applicator stick.

2) After 3-5 minutes, open the perforated section on the back of the slide.

3) Apply 1 drop of Hemoccult SCREEN developing reagent to the positive and negative well each and 2 drops to the reaction wells.

4) Read results after 30 seconds and before 1 minute.


Interpretation

Read the results only when the controls give the correct color after the addition of the developing reagent.

  • Positive – Traces of blue colors in either one or both of the reaction wells
  • Negative – No indication of blue color in either one or both of the reaction wells

Positive stool samples are confirmed using the OC Light Occult Blood Method.

Limitations of procedure

Hemoglobin is not usually found in the stool of healthy individuals. Its presence indicates bleeding in the gastrointestinal tract. Causes include tumors. Tumors are common in the elderly and this test is used as a screen to select patients for further invasive investigation.


Stool OC Light


Introduction – The OC Light method is used to confirm the positive cases by the Hemoccult SENSA method.

Principle of analysis – The OC Light is designed to measure human hemoglobin in fecal samples. The OC Light immunochromatographic test has a test detection range from 10µg to 100mg/g of feces. The test strip reacts only with human hemoglobin and does not react with hemoglobin of other animal origin.

Specimen - Stool

Reagents -

OC Light Sampling Bottles

OC Light Strips

Retrieved from : http://www.eiken.co.jp/en/product/index.html


Method -

1) Remove the green cap from the sampling bottle and dilute the stool inside the bottle.

2) Remove the white cone nozzle.

3) Insert the strip into the sampling bottle from the dip slide.

4) Read test result, presence of a blue line at the lower and upper center of the strip after 5 minutes.


Interpretation

Read the result only when the controls give the correct color after the addition of the developing reagent.

Positive result – Presence of blue line at the lower and upper center of the strip may be considered positive.

Negative result – Presence of blue line only at the upper center of the strip is negative.

Equivocal result – No blue in line in both the lower and upper center of the strip or at the lower center of the strip only should be considered equivocal. Such samples should be retested by changing OC Light test strip.



That's all for now peepz!!

Before i sign off, i would like to say sorry if i have not answered any of your questions regarding my last two posts.. It's been hard for me to get access to the internet. I will try my best to reply to all the questions ASAP.. Really sorry especially to Ms Chew. I hope i have not been penalized by my lack of participation. I will try to participate more often once i got my laptop soon.. Sorry once again..


Toodles~~

** Sofie **

8 comments:

group1 said...

Hi Sofie :)

What are some of the food substances which may cause peroxidase activity that leads to false positive results for the 1st test you have mentioned?

Thanks.

Yvonne Teo
0605109H

THE CODEC 5 said...

hihi sofie,

may i know other than food substances, any other things or factors will cause a false positive results?

thanks

ting-jie
tg02
0608495h

THE CODEC 5 said...
This comment has been removed by the author.
THE CODEC 5 said...

Hi Sofie,
We're using OC-LIGHT in our lab too. Hahs. You could take a look at my blog post too if you like some more info about it. It's a quite a trick isn't it? Boy.

Anyways. Am really puzzled as to why your lab uses both the guaiac and OC-Light tests even though OC-LIGHT is reliable and has the advantage of not imposing any particular requirements on a patient's diet before a screening, unlike that of the guaiac test which requires that you not eat this and that and ya-da-ya-da which can be a real hassle for preventing a false result. This is so as in the lab i'm in, we use only OC-LIGHT as a screening procedure. Could it be because of cost reasons?

Also, you mentioned that OC-LIGHT is a confirmatory test ofr fecal occult blood. Would there be any other tests conducted alongside the test as i do remember the instruction manual saying that OC-LIGHT is not a substitute for other confiramtory tests?

Big thanks!

Alexander Soo TG02
0608122H

Big thanks!

Alexander Soo TG02
0608122H

Fluid collectors said...

hi sofie,

For the stool occult blood test, you mentioned that there is guaiac impregnanted in the test paper that reacts with haemoglobin. I was wondering if there is anything in the sampling bottle or on the strip that reacts with the human haemoglobin when the strip is inserted.

Lastly, in cases of equivocal results, is it really only due to some problems with the OC Light test strip and nothing else? thanks.

Malerie
TG02

~immortals~ said...

hi sofie =)

i wana ask u,
for the hemocult SENSA test kit, u must read the reading within a certain timing right?
is it within 1 minute? and why?

raihana~

Ms_chew said...

I can understand that it is a bit inconvenient without internet. However, I would appreciate that you can come to the school library and use the computer at least once every 2 weeks to answer all the questions. There is really no point someone ask the questions but no answers to it. I will have to fail you in this blog component although you have constraints.

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