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General Comments:
Regulatory and diagnostic serology testing
requires that 1-2 ml of good quality serum must be submitted. Hemolyzed and /or
contaminated serum reduces the specificity and sensitivity of the tests being
performed. A good quality serum sample can be obtained by using either a
separator tube or a red top tube. If using a red top tube, please separate serum
by centrifugation. The latter method should be done completely before shipping
the sample. All serum samples should be sent chilled and shipped with an ice
pack.
The following tests detect
either a serological or antibody responses to disease agents.
- Standard Plate Tests (SPT)
- Buffered Antigen Plate Agglutination (BAPA)
- Rivanol
- Latex Agglutination
- Enzyme-Linked Immunosorbent Assay (ELISA)
- Agar Gel Immunodiffusion (AGID)
Specimen submission:
- Blood must be collected
using sterile techniques. Any microbial or chemical contamination of the sera
can cause lyses to the cells. Do not submit whole blood for serological tests.
Clear serum in sterile tubes under refrigerated conditions should be
submitted.
- Acute sera should be
collected within 3-7 days after onset of the illness. Convalescent sera should
be collected 3-4 weeks later.
- Clearly label all tubes and
list on submission form.
- Tape should be applied
around the tube closure to prevent leakage.
- Refrigerate the samples if
transport is delayed. Do not place whole blood samples against gel pack.
- When preparing serum
samples, allow the blood to clot at room temperature before centrifugation.
- Clearly label and
distinguish acute samples from convalescent samples.
- Paired serum samples may be
required for the detection of infection. Separate the serum on the first
sample and keep it frozen until the second is drawn, then submit them
together.
- Arrange transport so
specimens arrive at the laboratory for Monday through Friday delivery.
- The laboratory reserves
the right to determine the suitability of a specimen for testing.
Legend:
Red top tube = no additive
Purple top tube = EDTA
Green top tube = Heparinized
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