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Dilutions
Necessary to make a less concentrated solution from a reagent such as an acid or a buffer in order to use the reagent in a particular procedure
Dilutions
very important in performing serologic techniques which are used to detect the interaction of antigen with antibody, quantitation of antibody against infectious agents, and non-microbial antigen
Water or saline
added to the concentrate to make the reagent the proper strength for testing
Solute
The material being diluted
Solvent/Diluent
The medium making up the rest of the solution
fraction
The relationship between solute and solvent is a ratio that can also be expressed as a _
Titer
Indicator of an antibody’s strength
Titer
Reciprocal of the highest dilution of the patient’s serum in which the antibody is detectable
antibody
Titer
The high titer indicates that a clinically significant amount of _ is present in the serum
Diluent = total volume - solute
Diluent formula
Compound Dilution
Used for very large dilutions
Preparing a serial dilution of the antibody containing solution (serum)
Adding an equal volume of antigen suspension to each dilution
Determination of the Concentration of Antibody (Titer) for a Specific Antigen
Involves 2 steps:
Serial Dilution
Simply a series of simple dilutions which amplifies the dilution factor quickly beginning with a small initial quantity of material
Two-fold Dilution
most common form of serial dilution
Doubling Dilution
Amount of serum is cut in half with each dilution
500
500
500
Procedure
Label the 5 tubes using numbers 1 to 5
Using the automatic pipette place _ uL of saline to all tubes
Using a new tip for the pipette, add _ uL of antibody A to tube number 1. Place the tube in a vortex
Draw up to _ uL from tube number 1 and transfer to tube number 2. Place again the tube in a vortex
500
500, 3
Procedure
Label the 5 tubes using numbers 1 to 5
Using the automatic pipette place 500 uL of saline to all tubes
Using a new tip for the pipette, add 500 uL of antibody A to tube number 1. Place the tube in a vortex
Draw up to 500 uL from tube number 1 and transfer to tube number 2. Place again the tube in a vortex
Repeat step number 4 up to the last tube
Discard _ uL from the last tube
Using new tip for the pipette, add _ uL of _% Red Blood Cell suspension to each tube
Mix well by using a vortex mixer or by simply tapping the tubes
30
20
agglutination
negative
Procedure
Label the 5 tubes using numbers 1 to 5
Using the automatic pipette place 500 uL of saline to all tubes
Using a new tip for the pipette, add 500 uL of antibody A to tube number 1. Place the tube in a vortex
Draw up to 500 uL from tube number 1 and transfer to tube number 2. Place again the tube in a vortex
Repeat step number 4 up to the last tube
Discard 500 uL from the last tube
Using new tip for the pipette, add 500 uL of 3% Red Blood Cell suspension to each tube
Mix well by using a vortex mixer or by simply tapping the tubes
Place your sets of tubes in the refrigerator _ minutes
Remove from refrigerator, centrifuge for _ seconds
Read immediately for _ by gently shaking the tube to dislodge the red blood cell button
Note: If the tubes are shaken too roughly false _ reactions can occur
Clumping
Interpretations
_ of the red blood cells is positive
smooth, uniform
Interpretations
A _, _ appearance of red blood cell suspension is negative
endpoint
Interpretations
The last tube showing agglutination is the _ of the test
titer
Interpretations
The _ is reported out as the reciprocal of the last dilution showing a positive result