Do not freeze: frozen ASO – Latex and Diluent could change the functionally of the test Bring reagents at Room Temperature before use Anti-Streptolysin O Quantitative Turbidimetric Method PRINCIPLE: The “ANTI STREPTOLYSIN O” kit is a quantitative turbidimetric test for the measurement of ASO in human serum or plasma. Latex particles, coated with streptolysin O (SLO), are agglutinated when mixed with samples containing ASO. The agglutination causes a turbidity whose absorbance change, dependent upon the ASO contents of the sample that can be quantified by comparison from the calibrator of known ASO concentration. The sensitivity of the assay and the target value of the calibrator have been standardized against the ASO International Calibrator (WHO). It is not recommended the use of other commercially available ASO calibrators Reagent composition 1. Diluent TRIS buffer pH 8.2 20 mmol/l Sodium Azide 0.95 g /l 2. Latex Latex particles coated with streptolysin O pH 10 Sodium Azide 0.95 g /l 3. Calibrator Human Serum Value stated on vial label Sodium Azide 0.95 g/l According to the present laws the kit does not contain substances classified as dangerous Storage and Stability of Reagents Store the kit at 2 - 8°C All the components are stable until the stated expiration date if stored tightly closed and refrigerated Preparation and Stability of Working solution Diluent liquid and ready to use Latex liquid and ready to use Calibrator: liquid and ready to use WORKING SOLUTION Swirl the Latex vial gently before use and prepare the necessary amount of Working solution as follow: 1ml Latex + 9 ml Diluent Working solution stability: 30 days at 2 - 8°C Reagents deterioration: Presence of particles and turbidity Sample Fresh serum Do not use highly hemolized or lipemic samples Samples with presence of fibrin should be centrifuged before testing The sample is stable 7 days at 2-8°C or 3 months at-20° C Caution BIOLOGICAL RISK Each unit of source material used in the preparation of the Calibrator have been tested by a licensed method and found non reactive for HbsAg and negative for Antibodies to HCV and HIV 1/2. However no known test can offer complete assurance that products derived from human blood will not transmit Hepatitis, AIDS or other infectious diseases. Those products, like all materials of human origin, should be handled as potentially infectious biological material Safety precautions For in vitro diagnostic use only Do not pipette by mouth. Exercise the normal precautions required for handling laboratory reagents. Procedure Wavelenght: 540 nm (530 - 550) Cuvette light path: 1cm Temperature 37°C Adjust the instrument to zero against distilled water Pipette into cuvettes Calibrator Sample Working Solution 1 ml 1 ml Calibrator 10 µl Sample 10 µl Mix and read the first absorbance of Calibrator and Samples (A1) immediately and after 2 minutes read the second absorbance (A2). Calculation (A2 - A1) Sample ASO (IU/ml) = x Calibrator Value (A2 - A1) Calibrator Reference values Adults up to 200 IU/ml Children < 5 years old up to 100 IU/ml These values must only be used as a guideline. Each laboratory should establish its Normal Reference Range Performance Characteristics 1. LINEARITY LIMIT Up to 800 IU/ml under the described assay conditions. Samples with higher values should be diluted 1:3 with Saline Solution and retested again. Multiply the result by 3. The linearity limit depends on the sample/reagent ratio, as well the analyzer used. It will be higher by decreasing the sample volume, although the sensitivity of the test will be proportionally decreased. 2. DETECTION LIMIT Values less than 20 IU/ml give non - reproducible results 3. PROZONE EFFECT No prozone effect was detected upon 3000 IU/ml 4. PRECISION Mean (IU/ml) SD CV Intra - Assay (n = 10) 135 236 372 3.4 5.4 5.9 2.5 2.3 1.6 Inter - Assay (n = 10) 135 236 372 7.9 13.2 17.7 5.9 5.5 4.8 5. ACCURACY Comparing this reagent (y) with another commercial one (x) were obtained the following results: N = 80 r = 0.98 y = 1.305 x - 7.65 6. INTERFERENCES Bilirubin up to 20 mg/dl does not interfere Haemoglobin up to 10 g/l does not interfere Lipaemia up to 10 g/l does not interfere Rheumatoid Factors up to 600 IU/ml do not interfere Other substances may interfere7 Quality Control Control Sera are recommended to monitor the performance of manual and automated assay procedures. Note Clinical diagnosis should not be made on findings of a single test result, but should integrate both clinical and laboratory data Bibliography 1. Haffejee I. Quarterly Journal of Medicine, New series 84; 305: 641- 658 (1992) 2. Alouf Jodeph E.: Pharma Ther; 11, 681 - 717 (1980) 3. Fasani M et al.: Eur. J. Lab. Med.; vol.2 n° 1: 67 (1994) 4. Todd E.W.: J. Exp. Med.; 55: 267 - 280 (1932) 5. Klein GC. Applied Microbiology; 19: 60 - 61 (1970) 6. Klein GC. Applied Microbiology; 21: 999 - 1001 (1970) 7. Young D.S.:Effects of Drugs on clinical laboratoty test, 4th ed.AACC Press (1995) For in vitro diagnostic use only. The following symbols are used on labels For in vitro diagnostic use Use by (last day of the month) Temperature limitation Batch Code www.betalab-eg.com