Hiper Widal Test Teaching Kit (Slide Test)
Hiper Widal Test Teaching Kit (Slide Test)
Product Information
Storage Instructions:
The kit is stable for 12 months from the date of manufacture
Store all the antigen solutions, Test sample, positive and negative
control at 2-8oC
Other kit contents can be stored at room temperature (15-25oC)
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Index
1 Aim 3
2 Introduction 3
3 Principle 3
4 Kit Contents 4
6 Storage 4
7 Important Instructions 4
8 Procedure 5
10 Interpretation 6
11 Troubleshooting Guide 6
2
Aim:
To detect the presence of Salmonella genus which causes enteric or Typhoid Fever by using qualitative slide
agglutination test.
Introduction:
Widal test is a serological method to diagnose enteric fever or typhoid which is caused by the infection with
pathogenic microorganisms like Salmonella typhi,Salmonella paratyphi A, B and C. This method of diagnostic
test is based upon a visible agglutination reaction either in a test tube or on a slide between antibodies of patient
serum and antigens specifically prepared from Salmonella sp.
Principle:
Enteric fever or typhoid is a life threatening disease which usually occurs due to the infection of pathogenic
microorganisms, e.g. Salmonella typhi, Salmonella paratyphi A, B and C. These microorganisms are
transmitted to human body through food and drinks contaminated with fecal matter. Early diagnosis and
treatment for this fever are essential to avoid serious clinical complications. During the course of infection
antibodies are produced against Salmonella antigens. Widal test, a serological method for the detection of
Salmonella sp., was developed by F Widal in 1896. During this test a visible agglutination is formed due to the
reaction in a test tube or on a slide between antibodies present in the infected person's blood sample and
specific antigens of S. typhi and S. paratyphi. For the slide agglutination test, stained Salmonella antigens are
used to detect the presence of specific agglutinin in the patient’s serum. The slide agglutination test is used as
a primary screening procedure.
The organisms causing enteric fever possesses two major antigens namely somatic antigen, O and a flagellar
antigen, H along with another surface antigen, Vi. During infection antibodies are produced in patient’s sera
against Salmonella typhi O and H and Salmonella paratyphi AH and BH antigens. During infection antibodies
are produced in patient’s sera against these antigens. Antigens specifically prepared from this organism are
used in the agglutination test to detect the presence of antibodies in patients’ sera which are elucidated in
response to infection by these bacteria. There are some agglutinins that are produced in the patient’s serum
during the fever period, which react with somatic antigen O of Salmonella typhi, A or B of Salmonella paratyphi
and then with flagellar antigen H which is common in most of the Salmonella species. In this test four specific
antigen suspensions are used e.g. Salmonella typhi ( H antigen), Salmonella typhi (O antigen), Salmonella
paratyphi - A and Salmonella paratyphi - B. If agglutination occurs with O antigen then it is considered positive
for Salmonella typhi. If agglutination occurs in A or B antigen then it is confirmed as positive for Salmonella
paratyphi. Agglutination will occur in H antigen circle for all the cases of antigens like O, A, and B. Salmonella
species are characterized by three antigens present on the cell, as shown in figure 1.
Vi O
Anti- Anti-
gen gen H Antigen
3
O Antigen: This is a somatic antigen and is present on the outer membrane of the cell. Its specificity is
determined by the nature of the repeating units in the outer O-polysaccharide chain. Somatic antigens are heat
stable, alcohol resistant and forms compact and granular clumps when mixed with O antisera.
Vi antigens: This is a virulence antigen which is a capsular polysaccharide that overlays the O antigen. This
capsule is not necessary for infection but it increases the infectivity by making it less detectable by the body’s
immune system. It is heat labile and can be detected using Vi antisera. Vi antigen can interfere with O antigen
testing.
H Antigens: This is a heat labile flagellar antigen which is inactivated both by boiling and alcohol. H antigens
rapidly form fluffy clumps when treated with the corresponding antisera. H antigen induces rapid formation of
corresponding antibodies as it is strongly immunogenic.
Widal Test Teaching Kit (Slide Test) utilizes the principle for rapid slide agglutination to detect the presence of
Salmonellatyphi and paratyphi. The kit gives direct results in form of visible agglutination.
Kit Contents:
Table 1: Enlists the materials provided in this kit with their quantity and recommended storage
Storage:
HiPer® Widal Test Teaching Kit (Slide Test) is stable for 12 months from the date of manufacture without
showing any reduction in performance. On receipt, store the Antigen solutions, Positive control and Negative
control at 2-8oC.
Important Instructions:
1. Widal Slide Test Kit should be used according to the kit instructions.
2. Allow all reagents to reach room temperature before use.
3. Do not dilute any of the kit reagents.
4. Do not inter mix the reagents.
5. Do not freeze any of the kit reagents.
6. Ensure the glass slide is clean and dry prior to use.
4
Procedure:
1. Before starting the experiment, bring all reagents to room temperature and mix well.
2. Mark the circles of slides as PC (Positive control), NC (Negative control), O, H, AH, BH as per antigen
solutions used for testing (as shown in figure 2).
3. Add 15 µl of positive control into the circle marked as PC of given glass slide.
4. Then add 15 µl of negative control into the reaction circle marked as NC.
5. Add 15 µl of test sample into each reaction circle labeled as O, H, AH, BH according to given antigen
solution.
6. Add 15 µl of Antigen solution of Salmonella typhi 'H' into PC and NC circle each. Mix well using new
mixing stick for each circle.
7. To circles labeled as O, H, AH, BH in which test samples have been added, add antigen solutions of
Salmonella typhi 'O', Salmonella typhi 'H', Salmonella paratyphi 'AH' and Salmonella paratyphi
'BH', respectively.
8. Mix the content of each reaction circle uniformly with separate mixing stick.
9. Rock the glass slide gently (approximately for one minute) and observe for agglutination.
O H AH
BH NC PC
5
Observation and Result:
After mixing the test sample with Antigen Solution, Positive control, Negative control separately observe for
the agglutination reaction.
Fig 3: Agglutination reaction for different antigen solutions with Test sample
Interpretation:
During the infection of Salmonella the human body responds to the antigenic stimulus and as a result corresponding
antibodies are produced. When the test sample is treated with colored and attenuated Salmonella antigen suspensions, the
antibodies present in the sample react with the antigen suspension to give clearly visible agglutination which can be seen
through naked eye. Therefore, formation of agglutination indicates positive result which means the presence of anti-
salmonella antibodies in the test sample. No agglutination is a negative test result which indicates the absence of anti-
salmonella antibodies.
Troubleshooting Guide:
6
Technical Assistance:
At HiMedia we pride ourselves on the quality and availability of our technical support. For any kind of technical
assistance mail at [email protected]
15°C
PIHTI017_O/0419 HTI017-06