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Comb AIDS Test Procedure Guide

This document provides instructions for performing the COMB AIDS test in the laboratory to detect IgG/IgM antibodies to HIV types 1 and 2. It describes preparing reagents and controls, performing the assay which involves placing patient samples on test combs and incubating, then interpreting results based on the presence of pink dots. The procedure takes approximately 1 hour and involves multiple steps of dilution, incubation, washing and drying of test combs to visualize results.
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0% found this document useful (0 votes)
772 views11 pages

Comb AIDS Test Procedure Guide

This document provides instructions for performing the COMB AIDS test in the laboratory to detect IgG/IgM antibodies to HIV types 1 and 2. It describes preparing reagents and controls, performing the assay which involves placing patient samples on test combs and incubating, then interpreting results based on the presence of pink dots. The procedure takes approximately 1 hour and involves multiple steps of dilution, incubation, washing and drying of test combs to visualize results.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

COMB AIDS

RS
PURPOSE:- TO DESCRIBE STEP WISE INSTRUCTIONS OF
COMB AIDS IN THE LABORATORY.

SCOPE:- TO DEFINE ALL THE DETAILED INSTRUCTIONS OF


COMBAIDS.

RESPONSIBILITY:- IT IS THE RESPONSIBILITY OF THE LAB


TECHNICIAN TO PREPARE THE AND
GET IT APPROVED FROM INCHARGE.

INTENDED USE:-DOT IMMUNOASSAY INTENTED FOR THE


QUALITATIVE DETECTION OF IgG / Igm ANTIBODIES TO THE
HIV TYPE 1 AND 2 IN HUMAN WHOLE BLOOD , SERUM AND
PLASMA.

PRINCIPLE- THE IMOBILISED ANTIGEN- ANTIBODY COMPLEX IS


VISUALISED BY MEANS OF COLOUR PRODUCING REACTION.

SAMPLE WHOLE BLOOD, SERUM AND PLASMA CAN BE USED.


REAGENTS REAGENT 1- WASHING BUFFER
REAGENT 2- COLLIDAL GOLD SIGNAL
REAGENT
REAGENT3- SAMPLE DILUENT
REAGENT4- NEGATIVE CONTROL
REAGENT5- POSITIVE CONTROL
REAGENT6- ANTIGEN & CONTROL REAGENT
COATED COMBS.
ACCESSORIES
1. WASH RESERVOIR
2. 8 MICROWELL STRIPS
3. FOUR-ROW FRAME
4. DISPOSABLE PLASTIC DR0PPER
5. RUBBER TEATS
6. REFERENCE COLOUR INDEX

SETTING UP THE TEST:-


DILUTE THE CONCENTRATED WASHING
BUFFER (5X) TO I:5 WITH DISTILLED WATER BY ADDING 2ml
OF CONCENTRATED WASHING BUFFER TO 8ml OF DISTIILED
WATER.

ASSAY PROCEDURE

L THE KIT COMPONENT AND SAMPLES TO BE TESTED BROUGHT


TO ROOM TEMP.
1. SET THE FILTER PAPER SHEET ON THE TABLE.
2. MAKE THE 1% HYPOCHLORITE SOLUTION
3. MARK THE SAMPLE NUMBER ON MICROTEST WELL AND ADD
TWO DROPS OF SAMPLE DILUENT TO EACH MICROTEST WELL.
ADD TWO DROPS OF SAMPLE WITH THE HELP OF DISPOSABLE
PLASTIC DROPER/CONTROL TO EACH OF THE ABOVE WELLS
CONTAINING SAMPLE [Link] SAMPLE WITH DILUENT BY
REPEATED ASPIRATION AND EXPELLING OR STIRRING WITH
DISPOSABLE PLASTIC DROPPPER.

5. TAKE REQUIRED NUMBER OF COMB AND MARK THE SAMPLE


NUMBER ON THE COMB.
6. PLACE THE COMB IN DILUTED SAMPLE BY HOLDING THE COMB
VERTICALLY WITH THE TEETH POINTING DOWN. SET THE TIMER
FOR 10 MIN.

IN THE MEAN TIME DILUTE THE CONCENTRATED WASHING


BUFFER (5X) TO I:5 WITH DISTILLED WATER BY ADDING 2ml
OF CONCENTRATED WASHING BUFFER TO 8ml OF DISTIILED
WATER.

AFTER 10 MIN REMOVE THE COMB AND BLOT VERTICALLY ON THE


ABSORBENT AND WASH FORWARD AND BACKWARD 10 TIMES IN
WASHING SOLUTION.

1. PLACE THE COMB IN THE WELL CONTAINING COLLIDAL GOLD


FOR 10 MIN.

10. TAKE THE COMB AFTER 10 MIN AND PLACE ON A CLEAN


SURFACE. ALLOW THE COMB TO AIR DRY COMPLETELY. AND NOTE
THE RESULT.

RESULTS: 1. PRESENCE OF PINK COLOURED DOT BOTH IN THE


TEST AND CONTROL INDICATE POSITIVE RESULT.
1. PRESENCE OF ONE DOT ON THE CONTROL INDICATES
NEGATIVE RESULT.

IF NO PINK COLOUR DOT APPEARED IN TEST & IN CONTROL THEN


THE TEST IS INVALID & HAS TO BE REPEATED.

ANNEXURE 1 MATERIAL PROVIDED WITH KIT:-

1. TEST DEVICE INDIVIDUALLY FOIL POUCHED WITH DESICCANT


2. ASSAY DILUENT
3. POSITIVE CONTROL
4. NEGATIVE CONTROL
5. CAPILLARY PIPETTE
6. PACKAGE INSERT

ACCESSORIES [Link] RESERVOIR


2. 8MICROWELL STRIPS
3. FOUR-ROW FRAME
4. DISPOSABLE PLASTIC DR0PPER
5. RUBBER TEATS
6. REFERENCE COLOUR INDEX
ANNEXURE 2
1% HYPOCHLORITE

ANNEXURE 3 EQUIPMENT
1. AUTO PIPPETE
ANNEXURE 4 SAFETY ISSUES
1. WEAR ALL PROTECTIVE BARRIERS LIKE
GLOVES

Comb aids rs
PROCEDURE:

1. SET THE FILTER PAPER SHEET ON THE TABLE.

2. MAKE 1% HYPOCHLORITE SOLUTION.

3. BROUGHT THE TEST KIT IN ROOM TEMP.

4. REMOVE THE TEST DEVICE FROM FOIL POUCH, PLACE

IT ON ON FLAT DRY SURFACE.

5. ADD 10ul SERUM OR PLASMA OR 20ul WHOLE BLOOD

SPECIMEN IN THE SAMPLE WELL.


6. ADD 4 DROPS (120ul) OF ASSAY DILUENT INTO THE

SAMPLE

WELL.

[Link] TEST RESULT IN 5-20 MIN.

WORK DESK INSTRUCTION


TRISPOT AIDSCAN

Bring all the kit and sample at room


temperature.
Set the filter sheet on the table.
Prepare hypochlorite solution.

Remove the required number of test device


from the pouch.

Place on a flat surface.

Label the test device.

Add 2 drop of buffer.


Add 2 drop of serum or plasma into the sample
window and allow soaking in.

Add 2 drop of gold conjucate into the sample


window.

Add 4 drop of buffer into the sample window.

Read result immediately do not after 5 min.

Sd bioline

PURPOSE :- TO DESCRIBE STEPWISE


INSTRUCTIONS OF Sd bioline
IN THE LABORATORY.
SCOPE :- TO DEFINE ALL THE DETAILED
INSTRUCTIONS OF. MERILINE.
IT IS THE RESPONSIBILITY OF THE LAB TECHNICIAN
TO PREPARE THE SOP AND GET IT APPROVED
FROM INCHARGE.
PRINCIPLE:- THE SD BIOLINE HIV TEST IS AN
IMMUNOCHROMATOGRAPHIC (RAPID) TEST FOR THE
QUALITATIVE DETECTION OF ANTIBODIES OF ALL
ISOTYPES (IgG, IgM, IgA) SPECIFIC TO HIV-1& HIV-2
SIMULTANEOUSLY IN HUMAN SERUM PLASMA .

SPECIMEN:- SERUM ,PLASMA..

PROCEDURE OF THE TEST:-


SET THE FILTER PAPER SHEET ON
THETABLE.MAKE1%HYPOCHLORITE SOLUTION.
HE TEST KIT IN ROOM TEMP.

1. REMOVE THE TEST DEVICE FROM FOIL


POUCH, PLACE IT ON A FLAT, DRY SURFACE.
2. ADD 10ul SERUM OR PLASMA OR 20ul
WHOLE BLOOD SPECIMEN IN THE SAMPLE
WELL.
3. ADD 4 DROPS (120ul) OF ASSAY DILUENT
INTO THE SAMPLE WELL.
4. INTERPRET TEST RESULT IN 5-20 MIN.
INTERPRETATION OF THE TEST:-
1. A COLOR BAND APPEARS IN THE LEFT
SECTION OF THE RESULT WINDOW TO SHOW
THAT THE TEST IS WORKING [Link]
BAND IS CONTROL LINE.
2. COLOUR BANDS WILL APPEAR IN THE
MIDDLE AND RIGHT SECTION OF THE RESULT
[Link] BANDS ARE TEST LINE 2 AND
TEST LINE 1(2,1).

NEGATIVE RESULT
THE PRESENCE OFONLY CONTROLI WITH IN THE
RESULT WINDOW INDICATES A NEGATIVE
RESULT.

POSITIVE RESULTS
THE PRESENCE OF TWO LINES I AND TEST LINE 1
WITH IN THE RESULT WINDOW INDICATE A
POSITIVE RESULT FOR HIV 1.

THE PRESENCE OF TWO LINES I AND TEST LINE


2 WITH IN THE RESULT WINDOW INDICATE A
POSITIVE RESULT FOR HIV 2.

INVALID RESULT:- NO PRESENCE OF


CONTROL LINE I WITH IN THE RESULT WINDOW
INDICATES AN INVALID RESULT.

ANNEXURE 1 MATERIAL PROVIDED WITH KIT:-


1. TEST DEVICE INDIVIDUALLY FOIL POUCHED
WITH DESICCANT
2. ASSAY DILUENT
3. POSITIVE CONTROL
4. NEGATIVE CONTROL
5. CAPILLARY PIPETTE
6. PACKAGE INSERT

ANNEXURE 2
1% HYPOCHLORITE

ANNEXURE 3
EQUIPMENT
1. AUTO PIPPETE

ANNEXURE 4
SAFETY ISSUES
1. WEAR ALL PROTECTIVE BARRIERS LIKE
GLOVES

Common questions

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The COMB AIDS RS test emphasizes the use of protective barriers such as gloves to protect the laboratory technician from potential biological hazards. This measure is crucial because it minimizes the risk of contamination and exposure to infectious agents while handling samples like blood, serum, or plasma, ensuring both technician safety and test integrity .

The COMB AIDS RS test is based on a dot immunoassay intended for qualitative detection of IgG and IgM antibodies to HIV types 1 and 2 using immobilized antigen-antibody complexes visualized by a color reaction. It uses whole blood, serum, or plasma. In contrast, the SD Bioline HIV test is an immunochromatographic test for detecting antibodies of all isotypes (IgG, IgM, IgA) specific to HIV-1 and HIV-2 in human serum or plasma. It presents results through the appearance of color bands indicating proper test function or positive findings .

In the COMB AIDS RS test, a negative result is indicated by a pink dot appearing only on the control part without a corresponding dot in the test region. For the SD Bioline HIV test, a negative result involves the presence of a control line but no appearance of test lines in the result window. Both tests rely on the control line to verify functional test execution, but the specific indicators in the test regions differ .

To prepare and execute the COMB AIDS RS immunoassay test, the lab technician needs to ensure the test kit and samples are at room temperature and set a filter paper sheet on the table. Dilute the concentrated washing buffer (5X) to 1:5 with distilled water by adding 2ml of concentrated washing buffer to 8ml of distilled water. Mark the sample number on the Microtest Well, add two drops of sample diluent to each well, and then add two drops of the respective sample. Mix thoroughly. Mark the sample number on the comb, place it in the diluted sample vertically, and set for 10 minutes. After that, blot the comb vertically on absorbent material and wash forward and backward 10 times in washing solution. Finally, place the comb in the well containing colloidal gold for another 10 minutes, allow it to dry completely, and then interpret the results .

In the COMB AIDS RS test, control reagents provide benchmarks for assessing the validity of results. The positive control reagent ensures the test produces the expected positive result, helping verify the accuracy of the test reagents and process. The negative control confirms that a non-reacting sample yields no unexpected reaction, ensuring no false positives. If only the control line shows a pink dot, it indicates a valid negative result. If the test and controls fail to show expected results, it suggests an error in execution, requiring the test to be repeated .

Conducting the COMB AIDS RS test requires equipment and accessories such as wash reservoirs, microwell strips, four-row frames, disposable plastic droppers, rubber teats, and a reference color index. These tools are essential to properly handle reagents, mix samples accurately, and provide a structured environment for test execution. Droppers and pipettes ensure precise sample measurement and delivery, while the color index aids in result interpretation. Such equipment ensures precision, reduces contamination risk, and facilitates ease of operation during the assay process .

An invalid result in the COMB AIDS RS test, characterized by the absence of pink dots in both test and control sections, indicates a malfunction or error in the test procedure. This could be due to improper reagent or sample placement, kit malfunction, or human error. When this occurs, it is essential to first identify and rectify any procedural faults and then repeat the test with a new kit to ensure accurate results. Ensuring all steps are followed meticulously is critical to obtaining valid and reliable results .

In the COMB AIDS RS test, a positive result is indicated by the presence of pink colored dots both in the test and control sections. A negative result is indicated by the presence of a dot only on the control section. If there is no pink dot in either the test or control, the test is considered invalid and must be repeated .

Setting test components and samples to room temperature before starting the COMB AIDS RS assay ensures consistent and optimum chemical reactions during the test. Environmental temperature can impact the reactivity of biological and chemical components, and deviations might cause erratic results or impact the test's sensitivity and specificity. Ensuring everything is at room temperature facilitates accurate, reliable outcomes .

To prepare a 1% hypochlorite solution, which serves as a disinfectant in the laboratory context of the COMB AIDS RS test, measure and mix the necessary concentration of sodium hypochlorite with water to achieve a 1% solution. This preparation process is crucial for maintaining a sanitized environment by ensuring surfaces and tools are free from contaminants that could affect test accuracy and lab safety .

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