ACCUCARETM
RHEUMATOID FACTOR (RF) REAGENT
Latex test without predilution
Catalog No: Product Description: Pack Size:
RF 10 RF Reagent 10 test
RF 25 RF Reagent 25 test
RF 50 RF Reagent 50 test

RHEUMATOID FACTOR (RF) REAGENT SET

For the qualitative and quantative measurement of RF in human serum

INTRODUCTION

Rheumatoid factors (RF) are antibodies directed against antigenic sites in the Fc fragment of human and animal IgG. Their frequent occurrence in rheumatoid arthritis makes them useful for diagnosis and monitoring of the disease. One method used for rheumatoid factor detection is based on the ability of rheumatoid arthritis sera to agglutinate sensitized sheep red cells, as observed by waaler and Rose. A more sensitive reagent consisting of biologically inert latex beads coated with human gamma globulin was later described by Singer and Plotz. The RF kit is based on the principle of latex agglutination assay of Singer and Plotz. The major advantage of this method is rapid performance (2 minute reaction time) and lack of heterophile antibody interference.

PRINCIPLE
The R.F. reagent contains Latex particles coated with human gamma globulin. When the reagent is mixed with serum containing RF at a level greater than 8.0 IU/ml the particles will agglutinate.

TEST SENSITIVITY

The sensitivity is of 8 IU/ml of rheumatoid factor according to the World Health Organisation (WHO) International Reference preparation.

SAMPLE

Serum

REFERENCE VALUES

Adults < 8 IU/ml
REAGENTS
Reagent 1 : RF Latex Reagent
Reagent 2 : Positive Control Sera
Reagent 3 : Negative Control Sera

ACCESSORIES Slides, Stirrer rods, Droppers

STABILITY: All reagents and control are ready for use and stable upto the expiry date when stored at 2-8°C

QUALITATIVE DETERMINATION


Add in different circles of the slides :

Serum to be tested 1 drop (40 µl)
Positive Control 1 drop (40 µl)
Negative Control 1 drop (40 µl)

In all circles add :

RF Latex reagent 1 drop (40 µl) Mix and spread with the stirring rod to fill the test circle. Rotate the slide and observe for any agglutination which should occur within two minutes.

INTERPRETATION OF THE RESULTS

Marked agglutination indicates an RF concentration above 8 IU/ml. All the positive samples should be tested by a semi quantitative method.

SEMI-QUANTATIVE DETERMINATION
Prepare sample dilutions with saline 1:2, 1:4,1:64. Test each dilution according to the qualitative procedure until no further agglutination is observed. The RF concentration can then be estimated from the last dilution with the visible agglutination.

RF (IU/ml) = Highest dilution with positive reaction x reagent sensitivity (8 IU/ml).

REFERENCES

Waaler.E., Acta Path. Micr. Scand., 17,1 & 2 (40). Bandila, K.L., & Mc Duffie, F.C., Arthritis Rheum. 12 (1969) 74.
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