Select The Right Combination To Diagnose Syphilis
Select The Right Combination To Diagnose Syphilis
Select The Right Combination To Diagnose Syphilis
S e r o lo g y r a p i d t e s t s
Treponema pallidum
Principle
During Syphilitic infection, 2 groups of antibodies are detectable: nontreponemal antibodies which react with
nonspecific antigens (RPR VDRL test), and treponemal antibodies which react with the specific antigens to
T. pallidum (TPHA test).
RPR VDRL test is a serologic cardiolopidic and nontreponemic test for the quick detection of Syphilis. The reagent
consists of a suspension of cardiolipin/lecithin/cholesterol and carbon particles in order to improve the visual
reading. Cardiolipidic antigens react with the antibodies (reagin) present in the sample and form macroscopically
visible black dumps.
TPHA test detects human T. pallidum antibodies by an haemagglutination method. Avian erythrocytes are
sensitized with T. pallidum fragments. In the presence of specific anti-T. pallidum antibodies, sensitized erythrocytes
(Test Cells) agglutinate resulting in characteristic clouding at the bottom of the wells of the microtitre plate. In the
absence of antibodies, they sediment and form a very dense ring or compact button in the bottom of the well.
Unspecific reactions are detected using Control Cells which are unsensitized erythrocytes.
Methodology
TPHA (QUALITATIVE PROCEDURE) : RPR VDRL (QUALITATIVE PROCEDURE) :
1 Mix 190 µL diluent 1 Dispense 1 drop of 2 Dispense
+ 10 µL serum serum / plasma 1 free-falling
3 Transfer 25 µL or control(s) drop of the antigen
or control(s)
of mixture suspension
2 Remove 150 µL
Results are expressed as an agglutination intensity (- to 4+). Examine immediately the presence or absence of
visible agglutination.
2 : Weakly reactive
4+ 3+ 2+ 1+ +/-
3 : Strongly reactive
Positive results
All positive results (+/- to 4) must be tested with the For the semi-quantitative procedure, please refer to the
Part nr: EMR TPHA RPR VDRL-490-2013/00EN
Product range
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