CRP (C-Reactive Protein) Test - Latex Agglutination Method
1. Biological Importance
CRP is an acute-phase protein produced by the liver in response to inflammation...
2. Sampling Techniques
Sample type: Venous blood. Tube: Plain tube or with serum separator...
3. Principle of the Test
The test is based on latex agglutination: Latex particles are coated...
4. Equipment Used
Latex-coated test kit, agglutination card, micropipettes, centrifuge...
5. Reagents
Latex suspension with anti-CRP, positive and negative controls, saline...
6. Technical Steps (Qualitative & Semi-Quantitative)
Qualitative: Mix serum and latex, observe for agglutination...
7. Factors Influencing the Technique
Hemolysis, improper mixing, temperature variations...
8. Limitations of the Test
Not specific, limited sensitivity, can't distinguish infection types...
9. Reading the Results
Qualitative: presence/absence of agglutination. Semi-quantitative: dilution method...
CRP (C-Reactive Protein) Test - Latex Agglutination Method
10. Expression of Results
Qualitative: Positive/Negative. Semi-Quantitative: mg/L or mg/dL...
11. Reference Values
Normal CRP: < 6 mg/L. Mild: 6-30. Moderate: 30-100. Severe: >100 mg/L...
12. Interpretation of Results
Low CRP: normal/viral. High CRP: bacterial or severe inflammation...
13. Physiological and Pathological Variations
Pregnancy, aging, infections, cancer...
14. Quality Control
Run controls with each batch, use IQC charts, calibrate instruments...
15. Limits & Proposed Alternatives
Semi-quantitative only, subjective reading, alternative methods like immunoturbidimetry...
17. Other Techniques
Immunoturbidimetry, nephelometry, hs-CRP, ELISA, POCT...
16. Step-by-Step Analysis & Proposed Improvements
Step Issue Proposed Improvement
Sample handling Hemolysis risk Train in venipuncture, use proper tubes
Latex mixing Manual error Use rotator or automation
Reading Subjective Use optical reader for clarity
Reagent stability Temperature sensitivity Store at 2-8°C, monitor expiry dates