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LAPORAN IMUNOSEROLOGI II

Dengue IgM and/or IgG Rapid Test Cassette

OLEH:
Annisa Shafa Azzahra
PO714203221052

DOSEN PEMBIMBING
Nurdin, S.Si., M.Kes
Besse Uswatun Hasanah, S.Tr. Kes

POLTEKKES KEMENKES MAKASSAR


SARJANA TERAPAN TEKNOLOGI LABORATORIUM MEDIS
2024
Dengu IgM and/ or IgG Rapid Test Cassette
(Serum/Plasma)

INTRODUCTION
Dengue IgM and/or IgG Rapid Test Cassette is a lateral flow chromatographic immunoassay for
the simultaneous detection and differentiation of IgM and IgG anti-dengue in human serum (or
plasma). The Kit is a diagnostic device for qualitative detection.

SUMMARY
When a specimen is added to the test, IgG and IgM antibodies in the specimen sample react with
gold particles labled with dengue envelope proteins. As this specimen/particle mixture migrates
along the length of the test, the anti-dengue IgG and/or IgM antibody particle complex is
captured by the relevant IgG and IgM test bands located in the test device window causing a pale
to dark red band to form at the test region of the cassette window. The intensity pf the bands will
vary depending upon the amount of antibody present in the sample. The appearance of any color
in test region should be considered as positive for IgG and/or IgM antibody. A red procedural
control line should always develop in the test device window to indicate that the test has been
performed properly.

SPECIMEN COLLECTION
For serum or plasma, collect blood into a container without anticoagulant. If the specimen cannot
be tested on the day of collection, store the serum or plasma specimen in a refrigerator or freezer.
Bring the speciments to room temperature before testing.
TEST PROCEDURE
1. Open a pouch containing a cassette, remove the test kit from the pouch and place it
horizontally on the desk.
2. Dilute the specimen 10 times with diluent(e.g. Pipette 1 drop about 5ul of specimen into the
same well and then add 1 drop about 50ul of diluent into the same well).
3. Read results within 15 minutes. Do not read results after 20 minutes.

INTERPRETATION OF RESULTS
Negative: Only control pink band appears on the membrane of the cassette. This indicates that
there is no anti-dengue IgM and IgG in the specimen.
Positive: Three pink bands(C,G,M) , two pink bands(C,G) or (C,M) appear on test region of the
cassette. This indicates that the specimen contains detectable amount of anti-dengue IgG and
IgM, only IgG, only IgM.
'Invalid: If without colored band appears at control region, this is an indication of a possible
error in performing the test.
The test should be repeated using a new one.

PRECAUTION
1.Must use fresh specimen and avoid repetitive freezing, the result will be invalid.
2.Use it before expiry date.
3. The package of kit should not be opened until it reaches the room temperature if it taken out
from the refrigerator. Use the test kit as soon as possible but within 1 hour after removal from
pouch specially if the room temperature is more than 30C and in high humidity environment.
4.Old serum can not be used. If the serum is thick, it can be used only after being separated.

LIMITATIONS
1.The test is for in-vitro diagnostic use only.
2. The test is qualitative fitter detection, it can not be used as the final test for blood donor.
STORAGE AND STABILITY
The test kit can be stored at room temperature ( 4 to 30°C) in the sealed pouch to the date of
expiration. The test kit should be kept away from direct sunlight, moisture and heat.
INTERPRETATION OF RESULTS

Positive: Two lines appear. One colored line should be in the control line region (C) and another
apparent colored line should be in the test line region (T).
Negative: One colored line appears in the control line
INVALID region(C). No line appears in the test line region (T).
Invalid: Control line fails to appear

QUALITY CONTROL
The control line in the control zone is a built-in procedural control in the Test. The control line
appearing as specified indicates that the test is properly performed and reagents are functional.
Controls standards are not supplied with this kit; however it is recommended that positive and
negative controls be tested as a good laboratory practice to confirm the test procedure and to
verify proper test performance.
LIMITATIONS
1. The Test is for in vitro diagnostic use only.
2. The Test is a qualitative test.
3. The test is an aid to clinical diagnosis of HIV infection. As with all diagnostic tests, however,
result from the Test should not be used as the only basis for a screen diagnosis.
4. The test result should be interpreted together with all other clinical and laboratory findings by
a physician before a definite diagnosis can be reached.
5. The positive results should be confirmed by independent confirmatory tests.
6. In cases where the test result is negative while clinical symptoms persist, further consultation
with a physician and additional tests of other methods should be followed. A negative result at
any time does not preclude the possibility of HIV -1 and/or -2 infection.
PERFORMANCE CHARACTERISTICS
Sensitivity: The test has been compared with a leading commercial HIV ElA test using clinical
specimens. Results showed the HIV rapid device is very sensitive to HIV 1 and/or HIV 2
antibodies.
Specificity: The specificity is comparable to a leading commercial HIV EIA test. The test is
highly specific for anti-HIV-1 and/or -2 when compared to a leading commercial HIV ElA test.
The HIV One Step Rapid Test vs. ElA test

Relative sensitivity : 99.5%


Relative specificity : 99.8%
Accuracy : 99.7%
REFERRENCE
1. Janssen, RS, Satten, GA, Stramer, SL, Rawal, BD, O'Brien, TR, Weiblen, BJ, Hecht, FM,Jack,
N, Cleghorn, FR, Kahn, JO, Cheney, MA and Busch MP. New testing strategy to detect earl
HIV-1 infection for use in incidence estimates and for clinical and prevention purposes. JAMA
(1998) 280(1): 42-48.
2. Vasudevachari M.B., et al. Principles and Procedures of Human Immunodeficiency Virus
Serodiagnosis. In Noel
R. Rose, et al. (ed.), Manual of Clinical Laboratory Immunology. P. (1997) 788-801. ASM Press.
Wash. D.C.
INDEX OF SYMBOLS
VALIDITY SHEET

Makassar, 18 February, 2024


Praktikan

Annisa Shafa Azzahra

Dosen Pembimbing

Pembimbing I Pembimbing II

Nurdin, S.Si., M.Kes Besse Uswatun Hasanah, S.Tr. Kes

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