Lecture 8-streptolysin o

mr-said warsame nur

1. STREPTOLYSIN O MR-Said Warsame Nur

2. Introduction Streptolysin O is a hemolytic factor produced by most strains of GroupA beta- hemolytic streptococci (S. pyogenes ). Streptococci are gram-positive cocci in chain, non-motile, facultative anaerobes. It produce toxin like streptolysin O & streptolysin S and enzymes like DNAase , streptokinase.

3. Antistreptolysin O (ASO) Is specific neutralizing antibody produced after infection with these organisms & it appears in serum from 1 week-1month after the onset of a streptococcal infection. It combines and neutralizes the heamolytic activity of streptolysin O.

4. Serological test Antistreptolysin O test is used to diagnose conditions postbstreptococcal resulting from a streptococcal infection especially in diagnosis of rheumatic fever and glomerulonephritis when it’s not possible to isolate Group streptococci in culture (most complication develop at a stage when it is not possible to isolate groupA streptococcus in culture ).

5. principle of the test Antistretolysin O can react specifically with SLO and inhibits the heamolytic activity. The amount of ASO can be estimated by dilution of patient’s serum in the presence of constant amount of SLO to the point where there is still complete prevention of haemolysis . The occurrence of ASO depends on the production of SLO by streptococci in the infected host.

6. Commercially available test are: Antistreptolysin O latex slide test- used for screening a significant raise in ASO titer Antistreptolysin O titration test –used to determine the titer of ASO antibody.

7. Rapid Antistreptolysin O latex agglutination test Principle: In the presence of ASO antibody a visible agglutination reaction will be exhibited when a serum specimen combine with latex particle coated with streptolysin O antigen. Specimen Clear, haemolysis free serum

8. REAGENT STORAGE AND STABILITY Reagents are stable until stated expiration date on bottle label when stored refrigerated (2 - 8°C). DO NOT FREEZE. The ASO Latex Reagent, once shaken must be uniform without visible clumping. When stored refrigerated, a slight sedimentation may occur and should be considered normal . Do not use the latex reagent or controls if they become contaminated .

9. SPECIMEN COLLECTION AND STORAGE Use fresh serum collected by centrifuging clotted blood. If the test cannot be carried out on the same day, store the specimen for 7 days at 2-8(C and for 3 months at -20c . For longer periods the sample must be frozen. As in all serological tests, hemolytic or contaminated serum must not be used . DO NOT USE PLASMA.

10. Reagent & equipment required Latex particle coated with streptolycin O 0.9 % NaCl solution Glass slide with six cells Applicator sticks (stirrer) Control reagent Other material required Timer Test tubes Pasture pipettes and rubber bulb Serologic pipette and safety bulb

11. Procedure

12. RESULTS A.QUALITATIVE TEST: A negative reaction is indicated by a uniform milky suspension with no agglutination as observed with the ASO Negative Control. A positive reaction is indicated by any observable agglutination in the reaction mixture. The specimen reaction should be compared to the ASO Negative Control.

13. LIMITATIONS Results should be read three (3) minutes after the mixing of the reagent on the slide. A reading obtained after this period of time may be incorrect .