Contents of Kit
1. Microtiterwells, 12 x 8 (break apart) strips, 96 wells; Wells coated with Echinococcus granulosus antigen.(incl. 1 cover foil)
2. Sample Diluent *, 1 vial, 100 mL, ready to use, colored yellow; pH 7.2 ± 0.2.
3. Pos. Control *, 1 vial, 2.0 mL, ready to use; colored yellow, red cap.
4. Neg. Control *, 1 vial, 2.0 mL, ready to use; colored yellow, yellow cap.
5. Cut-off Control *, 1 vial, 2.0 mL, ready to use; colored yellow, black cap.
6. Enzyme Conjugate *, 1 vial, 20 mL, ready to use, colored red, antibody to human IgG conjugated to horseradish peroxidase.
7. Substrate Solution, 1 vial, 14 mL, ready to use, Tetramethylbenzidine (TMB).
8. Stop Solution, 1 vial, 14 mL, ready to use, contains 0.2 mol/L H2SO4. Avoid contact with the stop solution. It may cause skin irritations and burns.
9. Wash Solution *, 1 vial, 30 mL (20X concentrated for 600 mL), pH 6.5 ± 0.1
* Contain non-mercury preservative
Storage
Store the unopened reagents at 2 - 8°C until expiration date. Do not use components beyond the expiry date indicated on the kit labels.
Opened reagents must be stored at 2 – 8 °C. Microtiter wells must bd stored at 2 – 8 °C. Once the foil bag has been opened, care should be taken to close it tightly again.
Opened kits retain activity for 8 weeks if stored as described above.
General Description
Echinococci are microscopic cestodes (tapeworms) with a length of 1.4 to 6 mm which are dependent on their genus found. o either in dogs or other canids (E. granulosus) o or in foxes, coyotes and wolves (E. multilocularis) Sources of infection are final hosts (i.e. dogs for E. granulosus and mainly foxes for E. multilocularis) and food contaminated with parasite eggs. After ingestion of a suitable intermediate host, the egg hatches in the small bowel and releases an oncosphere that penetrates the intestinal wall and through the circulatory system into various organs where it develops into a cyst. Echinococcus infections remain silent for years before the enlarging cysts cause symptoms in the affected organs E. granulosus larvae (oncospheres) begin to vesiculate mainly in the liver but also in the lungs and in other organs (20%). The parasites form spherical, unilocular, fluid-filled cysts and can achieve diameters between 1-15 cm. In contrast to cystic echinococcosis, E. multil°Cularis larvae are found almost exclusively (98%) in the liver, but secondary lesions can spread metastatically to other organs (lungs, kidneys, CNS and others). The parasites grow infiltrative and tumor-like in the host tissue. E. granulosus occurs practically worldwide E. multil°Cularis occurs in the northern hemisphere, including central Europe and the northern parts of Europe, Asia, and North America. Detectable immune responses have been associated with the location, integrity, and vitality of the larval cyst. Cysts in the liver are more likely to elicit antibody response than cysts in the lungs, and regardless of localization, antibody detection tests are least sensitive in patients with intact hyaline cysts. Cysts in the lungs, brain, and spleen are associated with lowered serodiagnostic reactivity whereas those in bone appear to more regularly stimulate detectable antibody. Fissuration or rupture of a cyst is followed by an abrupt stimulation of antibodies. A Differentiation between both species of Echinococcus is not possible.