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Manual of basic techniques for a health laboratory - libdoc.who.int

Manual of basic techniques for a health laboratory - libdoc.who.int

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11. Immunological and serological <strong>techniques</strong> 34511.9.2 Method1. Collect a finger-prick sample <strong>of</strong> blood from the patient.2. Place one drop <strong>of</strong> blood <strong>int</strong>o a test-tube containing three drops <strong>of</strong> lysing reagent(Fig. 11.17).3. Place one drop <strong>of</strong> the lysed blood sample <strong>int</strong>o one <strong>of</strong> the wells <strong>of</strong> the test card <strong>int</strong>he reaction stand (Fig. 11.18).4. Place the dipstick in the lysed blood until all the blood has been absorbed (Fig.11.19).5. Apply one drop <strong>of</strong> detection reagent to the base <strong>of</strong> the dipstick (Fig. 11.20).This reagent consists <strong>of</strong> a suspension <strong>of</strong> micelles (phospholipid vesicles) containingsulfo-rhodamine B as a marker coupled to rabbit antibody raised againstHRP-II.6. When the reagent has been absorbed, apply two drops <strong>of</strong> washing reagent toclear the lysed blood (Fig. 11.21).If the result is positive a thin red line will be left across the dipstick with a brokenline (the reagent control) above it.Fig. 11.17 Adding a blood sample tolysing reagentFig. 11.18 Applying the blood sample to thetest cardFig. 11.19 Placing the dipstick in thelysed bloodFig. 11.20 Applying detection reagent to thedipstick

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