Alere TestPack+Plus Strep A Скачать руководство пользователя страница 4

INTENDED USE

Alere

TM

 TestPack Plus Strep A

 with On Board Controls (OBC) 

(

Alere

TM

 TestPack Strep A

) is a rapid immunoassay for the qualitative 

detection of Group A Streptococcal (Group A Strep) antigen from throat swab 
specimens as an aid to the diagnosis of Group A Strep pharyngitis or for culture 
confirmation. For professional 

in vitro

 diagnostic use only.

INTRODUCTION

Beta-haemolytic Group A 

Streptococcus

 is a major cause of upper respiratory 

infections in humans. The most commonly occurring Group A Streptococcal 
disease is pharyngitis. The symptoms of this, if left untreated, can become more 
severe and further complications such as acute rheumatic fever, toxic shock-
like syndrome and glomerulonephritis can develop

1

. Rapid identification can 

facilitate clinical management to prevent disease progression.

Alere

TM

 TestPack Strep A

 employs the Lancefield grouping method of 

identification, where Streptococcal groups are identified according to their cell 
wall antigens, which are species specific

2,3

Conventional methods used to identify Group A 

Streptococcus

 involve the 

isolation and subsequent identification of the organisms, which can take 24-48 
hours to complete

2,4

Alere

TM

 TestPack Strep A

 detects Group A Streptococci directly from throat 

swabs so that more rapid results are achieved. The test detects bacterial 
antigen from swabs, therefore it is possible to detect Group A 

Streptococcus

which may fail to grow in culture.

TEST PRINCIPLE

The Streptococcal Group A specific antigen is extracted from the throat 
swab using Reagent 1 and Reagent 2. Following this, Reagent 3 is added to 
neutralise the acid formed by Reagents 1 and 2. The extract is then dropped 
into the Sample Well of the reaction disc where it mobilises the Group A Strep 

antibody-coated colloid, which migrates through the membrane to the End of 
Assay Window. 

If Group A Streptococcal antigen is present in the extract it will form a complex 
with the antibody-colloid. The antibody-colloid complex migrates through the 
membrane and is then captured by the Group A Strep antibody in the result 
window, providing a visual indication of the presence of antigen.

A pink/red Plus Sign “+” appearing in the Result Window indicates the 
presence of Group A Strep antigen. A Minus Sign “–“ indicates no antigen 
was detected.

KIT CONTENTS AND STORAGE

EN

Result Window

Sample Well

2.0 M Sodium Nitrite (& Xylenol Orange) (5 mL/10 mL)

1.0 M Acetic Acid (5 mL/10 mL)

1.0 M Tris Buffer (Preservative: Sodium Azide) (5 mL/10 mL)

PRECAUTIONS

Standard guidelines for handling infectious agents should be observed 
throughout all procedures.

1.  It is recommended that disposable gloves be worn whilst handling   

specimens and reagents.

2.  Do not mix extraction reagents and reaction discs from different lots.
3.  Do not mix reagent bottle caps.
4.  Reagent 2 or Reagent 1 combined with Reagent 2 is acidic. Avoid contact  
  with eyes or mucous membranes. In the event of accidental contact, wash  
  thoroughly with water.
5.  Reagent 3 contains sodium azide, which on contact with lead and copper  
  plumbing may react to form explosive metal azides. Use large volumes of  
  water to flush reagents on disposal.
6.  Properly dispose of all contaminated waste such as swabs, reaction discs  
  and extraction tube.
7.  Do not use reaction discs or swabs that have become wet or if the pouch  
  has been opened or damaged.
8.  Recap the reagent bottles between uses.

 20/40 reaction discs

 20/40 extraction tubes 

 20/40 sterile Polyester (Dacron) tipped swabs

• 

One package insert

Store at 2-30°C. Do not use after the expiry date. 

End of Assay 
Window

2

EN

TP Strep A ROW 240599R4_4.indd   1

2011/08/12   11:12:41

Содержание TestPack+Plus Strep A

Страница 1: ...TestPack Plus with OBC Strep A POS CTL TestPack Plus with OBC Strep A TP Strep A ROW 240599R4_1 indd 1 2011 08 12 13 08 27...

Страница 2: ...www alere com TP Strep A ROW 240599R4_2 indd 1 2011 07 07 14 06 51...

Страница 3: ...1 TP Strep A ROW 240599R4_3 indd 1 2011 08 26 14 17 24...

Страница 4: ...reaction disc where it mobilises the Group A Strep antibody coated colloid which migrates through the membrane to the End of Assay Window If Group A Streptococcal antigen is present in the extract it...

Страница 5: ...forefinger then rotating it as it is withdrawn 6 Discard the swab safely 7 Apply the dropper tip to the extraction tube The extract is stable for up to 72 hours refrigerated 2 8 C in a covered tube T...

Страница 6: ...VALUES It is believed that approximately 19 of all upper respiratory tract infections are caused by Group A Streptococcus7 Group A Strep associated pharyngitis displays a seasonal variation and is mos...

Страница 7: ...Serratia marcescens Staphylococcus aureus Staphylococcus aureus Cowan s serotype 1 Staphylococcus epidermidis Staphylococcus haemolyticus Staphylococcus saprophyticus Streptococcus Groups B C D F G St...

Страница 8: ...nmulde der Testkassette getropft wo es das antik rperbeschichtete Kolloid der Streptokokken der Gruppe A mobilisiert das durch die Membran zum Fenster Untersuchungs ende migriert Wenn das Antigen der...

Страница 9: ...d den Tupfer beim Herausziehen drehen 6 Tupfer ordnungsgem entsorgen 7 Tropfkappe auf das Extraktionsr hrchen setzen Gek hlt 2 8 C ist das Extrakt in einem geschlossenen R hrchen bis zu 72 Stunden sta...

Страница 10: ...ergebnis f hren 4 Nicht ordnungsgem entnommene oder extrahierte Proben k nnen zu negativen Testergebnissen f hren 5 Bei negativen Testergebnissen oder falls die klinischen Symptome weiterhin bestehen...

Страница 11: ...aemolyticus Klebsiella pneumoniae Moraxella catarrhalis Moraxella lacunata Neisseria gonorrhoeae Neisseria lactamica Neisseria meningitidis Neisseria sicca Neisseria subflava Proteus vulgaris Pseudomo...

Страница 12: ...r det mobiliserer kolloidet der er d kket med gruppe A streptokokantistof og kolloidet migrerer derefter gennem membranen til analyseafslutningsvinduet Hvis der er gruppe A streptokokantigen i udtr kk...

Страница 13: ...p r ret med tommel og pegefinger og dreje pinden idet den tr kkes ud 6 Bortskaf podepinden efter forskrifterne 7 S t pipettespidsen p ekstraktionsr ret Udtr kket er stabilt i op til 72 timer hvis det...

Страница 14: ...ionskarakteristika i andre populationer end dem der er blevet unders gt i forbindelse med den kliniske unders gelse er ikke blevet fastlagt 3 Et negativt resultat kan opn s hvis m ngden af udtrukket a...

Страница 15: ...Serratia marcescens Staphylococcus aureus Staphylococcus aureus Cowans serotype 1 Staphylococcus epidermidis Staphylococcus haemolyticus Staphylococcus saprophyticus Streptococcus Gruppe B C D F G St...

Страница 16: ...as del disco de reacci n en el que se moviliza el coloide de los anticuerpos del estreptococo del grupo A que migra a trav s de la membrana hasta la ventana de finalizaci n del ensayo Si hay ant genos...

Страница 17: ...ice y rot ndolo a medida que se extrae 6 Deseche el hisopo de forma adecuada 7 Aplique la punta del cuentagotas al tubo de extracci n El extracto es estable durante un m ximo de 72 horas refrigerado 2...

Страница 18: ...las infecciones del tracto respiratorio superior est n causadas por estreptococos del grupo A7 La faringitis asociada al estreptococo del grupo A muestra una variaci n estacional y una mayor prevalen...

Страница 19: ...Densidad del cultivo 1 2 3 4 TestPack Strep A 82 9 11 96 23 24 100 39 39 100 51 51 Staphylococcus epidermidis Staphylococcus haemolyticus Staphylococcus saprophyticus Streptococcus grupos B C D F G S...

Страница 20: ...tokokkien vasta ainekolloidin kulkemaan kalvon l pi testin p ttymisen ikkunaan Jos uutteessa on A streptokokkiryhm n antigeenia se muodostaa kompleksin vasta ainekolloidin kanssa Vasta ainekolloidikom...

Страница 21: ...s vanupuikosta puristamalla putkea peukalolla ja etusormella ja poistamalla vanupuikko py ritt m ll 6 H vit vanupuikko turvallisesti 7 Kiinnit uuttoputkeen tippak rki Uute on stabiili 72 tunnin ajan k...

Страница 22: ...ia kaikista yl hengitystieinfektioista pidet n A ryhm n streptokokkien aiheuttamina7 A ryhm n streptokokkien aiheuttamat nielutulehdukset ovat kausiluonteisia Niit esiintyy eniten talvella ja alkukev...

Страница 23: ...VONTAPUHELIN Lisatietoja voi saada haluttaessa ottamalla yhteytta jalleenmyyjaan tai soittamalla Alere teknisille asiantuntijoille Afrikka Venaja ja IVY entisen Neuvostoliiton neuvostotasavaltojen muo...

Страница 24: ...e du disque de r action o il mobilise un collo de recouvert d anticorps anti SGA qui migre travers la membrane vers la fen tre de fin de test Si l antig ne du SGA est pr sent dans l extrait il forme u...

Страница 25: ...e quatri me goutte de r actif 3 pourra s av rer n cessaire pour obtenir le changement de couleur 5 Extraire soigneusement le liquide de l couvillon en comprimant le tube entre le pouce et l index puis...

Страница 26: ...ode de culture s impose si le r sultat est n gatif alors que les sympt mes cliniques persistent VALEURS ATTENDUES On estime que le streptocoque du groupe A est responsable d approximativement 19 de to...

Страница 27: ...l 972 8 9429 683 Adresse elec e ARCISproductsupport alere com Asie et Pacifique Tel 61 7 3363 7711 Adresse elec e APproductsupport alere com Europe et Moyen Orient Tel 44 161 483 9032 Adresse elec e E...

Страница 28: ...A Strep in vitro 1 AlereTM TestPack Strep A Lancefield 2 3 24 48 2 4 AlereTM TestPack Strep A A 1 2 3 1 2 A A A 2 0 M 5 mL 10 mL 1 0 M 5 mL 10 mL Tris 1 0 M 5 mL 10 mL 2 30 C 1 2 3 4 2 1 2 5 3 20 40...

Страница 29: ...2 S2 35 46 R22 S2 35 46 5 6 Dacron 2 8 C 72 18 30 C 30 1 3 1 2 3 2 3 1 30 4 3 3 3 5 6 7 72 2 8 C 8 9 5 10 AlereTM TestPack Strep A Dacron AlereTM TestPack Strep A 1 2 3 1 2 3 POS CTL POS CTL TP Strep...

Страница 30: ...28 EL NEG CTL X NEG CTL X 10 1 Dacron 2 3 4 5 19 7 8 9 AlereTM TestPack Strep A AlereTM TestPack Strep A 369 TP Strep A ROW 240599R4_5 indd 28 2011 08 12 12 00 44...

Страница 31: ...lla lacunata Neisseria gonorrhoeae Neisseria lactamica Neisseria meningitidis Neisseria sicca Neisseria subflava Proteus vulgaris Pseudomonas aeruginosa Serratia marcescens Staphylococcus aureus Staph...

Страница 32: ...reptococco di gruppo A che migra attraverso la membrana finch non raggiunge la finestra di fine analisi Se l antigene dello streptococco di gruppo A presente nel campione forma un aggregato con il col...

Страница 33: ...dola al momento di estrarla 6 Smaltire il tampone in modo sicuro 7 Applicare la punta contagocce alla provetta di estrazione L estratto stabile fino a circa 72 ore se conservato in frigorifero 2 8 C i...

Страница 34: ...RI ATTESI Si stima che circa il 19 delle infezioni delle vie aeree superiori sia causato da streptococco di gruppo A7 La faringite associata agli streptococchi di gruppo A ha una variazione stagionale...

Страница 35: ...com Densit di cultura 1 2 3 4 TestPack Strep A 82 9 11 96 23 24 100 39 39 100 51 51 REATTIVITA CROCIATA Quando il AlereTM TestPack Strep A stato testato con i batteri elencati di seguito non stata ris...

Страница 36: ...e collo de van Groep A Strep mobiliseert De collo de beweegt zich daarna door het membraan heen naar het einde van de testvenster Indien Groep A streptokokkenantigeen in het extract aanwezig is vormt...

Страница 37: ...dens het terugtrekken te draaien 6 Werp het wattenstaafje veilig weg 7 Plaats de punt van de druppelaar op het extractiebuisje Het extract is gekoeld 2 8 C maximaal 72 uur stabiel in een afgesloten bu...

Страница 38: ...st indien het resultaat negatief is en de klinische symptomen aanhouden VERWACHTE WAARDEN Aangenomen wordt dat ongeveer 19 van alle infecties van de hogere luchtwegen worden veroorzaakt door Groep A S...

Страница 39: ...tsupport alere com Kweekdichtheid 1 2 3 4 TestPack Strep A 82 9 11 96 23 24 100 39 39 100 51 51 KRUISREACTIVITEIT Er werd geen kruisreactiviteit gevonden wanneer AlereTM TestPack Strep A werd getest m...

Страница 40: ...er gjennom hinnen til vinduet for fullf rt test Dersom ekstraktet inneholder GAS antigen danner det et kompleks med antistoff kolloidet Antistoff kolloid komplekset migrerer gjennom hinnen fanges dere...

Страница 41: ...retter rotere den mens den tas ut 6 Kasser pr vepinnen p forsvarlig m te 7 Forsegl ekstraksjonsr ret med dryppkorken Ekstraktet er stabilt i inntil 72 timer dersom det nedkj les 2 8 C i et korket r r...

Страница 42: ...om resultatet er negativt og kliniske symptomer vedvarer FORVENTEDE VERDIER Det antas at omtrent 19 av alle infeksjoner i de vre luftveiene skyldes GAS7 Faryngitt forbundet med GAS viser sesongmessig...

Страница 43: ...m Haemophilus influenzae Haemophilus parahaemolyticus Klebsiella pneumoniae Moraxella catarrhalis Moraxella lacunata Neisseria gonorrhoeae Neisseria lactamica Neisseria meningitidis Neisseria sicca Ne...

Страница 44: ...s do disco de reac o onde mobiliza o col ide revestido por anticorpos anti Strep do Grupo A que migra atrav s da membrana para a Janela do Fim do Ensaio Se o antig nio do Strep do Grupo A estiver pres...

Страница 45: ...ficar rosa Ocasionalmente pode ser necess rio adicionar uma quarta gota de Reagente 3 para obter a mudan a de cor 5 Extrair totalmente o l quido do cotonete apertando o tubo entre o polegar e o indica...

Страница 46: ...19 das infec es do aparelho respirat rio superior sejam causadas por Streptococcus do Grupo A7 A faringite associada a Strep do Grupo A apresenta uma varia o sazonal e tem maior preval ncia durante o...

Страница 47: ...s individuais utilizando como termo de compara o a densidade da cultura de gar sangue de ovino No caso das placas de gar sangue de ovino visualmente positivas os m dicos registaram a densidade e o des...

Страница 48: ...s provbrunn d r den mobiliserar den kolloid som r belagd med antikroppar mot grupp A streptokocker och forts tter sedan genom membranet till analysslutsf nstret Om provet inneh ller grupp A streptokoc...

Страница 49: ...ret mellan tummen och pekfingret och sedan vrida p den medan du drar ut den 6 Kassera provstickan p ett s kert s tt 7 S tt droppspetsen p extraktionsr ret Extraktionsblandningen r stabil i upp till 72...

Страница 50: ...liniska symptomen kvarst r F RV NTADE V RDEN Man tror att cirka 19 av alla vre luftv gsinfektion orsakas av grupp A streptokocker7 Faryngit orsakad av grupp A streptokocker uppvisar en s songsvariatio...

Страница 51: ...ilus influenzae Haemophilus parahaemolyticus Klebsiella pneumoniae Moraxella catarrhalis Moraxella lacunata Neisseria gonorrhoeae Neisseria lactamica Neisseria meningitidis Neisseria sicca Neisseria s...

Страница 52: ...50 AR AR TP Strep A ROW 240599R4_5 indd 50 2011 08 12 12 01 08...

Страница 53: ...51 AR TP Strep A ROW 240599R4_5 indd 51 2011 08 12 12 01 18...

Страница 54: ...52 AR SBA 122 3 125 TestPack Strep A TestPack Strep A SBA 4 240 244 126 243 369 TP Strep A ROW 240599R4_5 indd 52 2011 08 12 12 01 29...

Страница 55: ...53 AR 1 2 3 4 TestPack Strep A 9 11 82 23 24 96 39 39 100 51 51 100 TP Strep A ROW 240599R4_5 indd 53 2011 08 12 12 01 33...

Страница 56: ...agente 3 Reagens 3 Reagens 3 Reagente 3 Reagens 3 Polyester Polyester Polyester Poli ster Polyesteri Polyester Poliestere Polyester Polyester Poli ster Polyester KEY TO SYMBOLS ZEICHENERKL RUNG SYMBOL...

Страница 57: ...TP Strep A ROW 240599R4_5 indd 55 2011 08 12 12 01 55...

Страница 58: ...an www alere com Tel 81 47 311 5750 Alere Ltd Pepper Road Hazel Grove Stockport SK7 5BW UK The Alere Logo and Alere are trademarks of the Alere group of companies 2011 Alere All rights reserved EC REP...

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