OneStep H Pylori #118562 Test Atlas Link InstaTest H. Pylori 2. 3. OneStep H. Pylori Whole blood/Serum Test Catalog # 118562-50 (50 tests) Read the instruction before performing assays. Follow the procedures during testing. SUMMARY 4. Finger-stick is recommended to collect fresh whole blood specimen for this assay. Wipe fingertip with alcohol, then prick fingertip with a lancet in a quick motion. Serum specimens can be stored at room temperature (20°C to 28°C) for 4 hours, at 2 o-8oC for 48 hours, and at -20°C or lower for prolonged storage. Repeatedly frozen and thawed specimens are not recommended for this assay. Any sediment in serum specimens should be removed by centrifugation. Avoid using any turbid specimens, which may be contaminated by microorganisms. The infection of Helicobacter pylori 1 (H. pylori, spiralshaped bacterium) is associated with a variety of gastrointestinal diseases, such as stomach ulcer, chronic active gastritis and gastric, duodenal, and gastric denocarcinoma2,3,4,5,6,7,8. Antibodies to H. pylori are developed in Individuals infected with H. pylori as a serological response 9,10. Detecting these specific antibodies to H. pylori can be used as a qualitative assay in the diagnosis of H. pylori infection. It may be used either as an adjunct to endoscopy or as an alternative measure in symptomatic patients. PRECAUTIONS PRINCIPLE 2. The Atlas Link Diagnostics H. pylori one-step assay is a lateral flow, chromatographic immunoassay (CIA), containing filter membrane pre-coated with H. pylori specific antigens and colored gold colloidal reagents labeled with H. pylori specific antigens. There are two regions on the membrane of the test strip, test region (T) and control region (C). A T line, the burgundy colored band in the test region of membrane, will be developed rapidly (from 30 seconds to 5 minutes) when antibodies to H. pylori present in specimen. If antibodies to H. pylori are not present, no T line will be developed in the test region. A C line, a burgundy colored band in the control region of the test strip, should always appear regardless of the presence of antibodies to H. pylori, serving as a internal qualitative control of the test system. 1. 2. 3. 4. FOR IN VITRO USE ONLY. Do not use test kit beyond expiration date. Do not open the test device foil pouch until you are ready to perform the test. Icteric, lipemic, hemolysed, heat treated and contaminated sera may cause erroneous results. PROCEDURE 1. 3. 4. 5. Refrigerated specimens or other materials should be equilibrated to room temperature right before performing assay. Remove the device from its protective pouch. Label the device with specimen identification. Add 40l fresh whole blood (or 20l serum) of specimens into the sample well. Add four drops (about 200 l) of dilution buffer into the sample well. Positive results may be observed as soon as 30 seconds after the specimen reaches the results window, depending on the concentration of antibodies to H. pylori in the tested specimen. To confirm negative results, total of 5 minutes, a complete reaction time is required. INTERPRETATION OF RESULTS REAGENTS and MATERIALS 1. 2. Test Device: Each contains a test strip. Dilution buffer. C T C T C T S S S POSITIVE NEGATIVE INVALID STORAGE The kit should be stored at room temperature (15-30°C) or refrigerator (2-8°C) in the sealed pouch with desiccant for the duration of the shelf life (18 months). SPECIMEN COLLECTION 1. 1. Both fresh whole blood and serum specimen may be tested with this assay. Following standard clinical procedure to collect specimens. 2. 3. Positive Two pink-rose bands appear: one in the test region (T) and in the control region (C). Negative One rose-pink band appears in the control region (C), with no band in the test region (T). Invalid There is no distinct color band visible both in the test region and in the control region, or there is a visible band only Atlas Link, 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com OneStep H Pylori #118562 Test in the test region and not in the control region. The result is invalid due to deterioration of the test or improper test procedure. Repeat the test with a new Testing Device. LIMITATION 1. This test is a qualitative assay. To confirm diagnosis of gastritis and/or peptic ulcers, clinical findings need to be considered. 2. Serum samples from patients infected with C. Jejuni may have a low cross-reactivity with this test. 3. A negative result can not rule out H. pylori infection. Because the antibody to H. pylori may be absent or may be insufficient to be detected at the time of testing. REFERENCES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Warren, J.R. and Marshall, B. (1983) Unidentified curved bacillus on gastric epithelium in active chronic gastritis (letters). Lancet 1: 12731275. Anderson, L.P. and Nielsen, H., (1993) Peptic ulcer: an infectious disease? Ann. Med. 25: 563-568. Dixon, ME, IV. (1991) Helicobacter pylori and peptic ulceration histpathological aspects. H. Gastro. Hepa. 6: 125-130. Hunt, R.H. and Mohammed, A.H. (1995) The current role of Helicobacter pylori: eradication in clinical practice, Scand. J. Gastroenterol. 30 suppl 208: 47-52 Lambert, J.R.; Lin, S.K. and Aranda-Michel, J. (1995) Helicobacter pylori, Scand. J. Gastroenterol. 30 suppl. 208: 33-46 Warren, J.R. and Marshall, B. (1984) Unidentified curved bacillus in the stomach of patients with gastritis and peptic ulcer disease. Lancet 1: 1273-1275. O’Connor, JH (1992) Helicobacter Pylori and gastric cancer: a review and hypothesis. Eur. J. Gastro. Hepa. 6: 103-109. Parsonnet, J, et al.(1991) Helicobacter Pylori infection and the risk of gastric carcinoma. N. Eng. J. Med. 325. 1127-1131. Vaira, D. and Holton, J. (1989) Serum immunoglobulin G antibody levels for Campylobacter pylori diagnosis. Gastroenterology 97: 10691071. Evans, D.J., Evans, D.G., Graham, D.Y. and Klein, P.D. (1989) A sensitive and specific serologic test for detection of Campylobacter pylori infection. Gastroenterology 96: 1004-1008 Atlas Link, 12720 Dogwood Hills Lane, Fairfax, VA 22033 USA Phone: (703) 266-5667, FAX: (703) 266-5664 http://www.atlaslink-inc.com, info@atlaslink-inc.com