Course Title: Serology
Course Code: MeLS 433
Credit Hour: 3
Lecture: 2 hours/week
Laboratory: 3 hours/week
Prerequisite Course: MeLS 234
Instructor:
Course objectives:
List range of tests for the diagnosis of syphilis, streptococcal infections, viral infections,
pregnancy tests
Discuss factors affecting antigen antibody reactions
Describe the working principles of pregnancy test, syphilis tests, ASO, C-reactive
protein.
Explain the collection, preparation, preservation and shipment of serologic specimens
Recognize laboratory quality control in serology laboratory
Identify possible factors involved in infectious disease diagnostic test results
Perform specific and non-specific tests for syphilis
Prepare dilution of serum specimen
Demonstrate proficiency in febrile agglutination tests for typhoid and paratyphoid fever,
tests for pregnancy, ASO
Review HIV test algorithm and hepatitis tests
Perform infectious mononucleosis; rheumatoid factor and acute phase protein tests.
Course description:
Overview on immune system, defense mechanisms by the body, structure and function of
antibodies, the complement system and immunity to infectious diseases. Review of basic
principles of immunologic and serologic reactions; factors affecting antigen antibody reactions,
serial dilution, Collection, preparation, preservation and shipment of serologic specimens; serial
dilution; zonal reaction, principles and practice of specific and non-specific serologic tests for
syphilis; febrile agglutinins (Widal and Weil-Felix tests); auto-immunity (Rheumatoid factor);
streptococcal infections (Anti - streptolysin O titer (ASO) & C-Reactive protein); viral infections
(Tests for HIV & viral hepatitis) and pregnancy test (HCG test in urine); infectious
mononucleosis, toxoplasmosis and acute phase proteins and other miscellaneous tests.
Course Outline:
Course Outline: yellow = modified and red = removed
1. Overview of basic principles of immunologic and serologic reactions (3hrs)
o Introduction
Overview on immune system, antibodies & complement system
Definition of terms
o Recapitulation of immunological Techniques
Primary, Secondary and Tertiary binding tests …….
o Factors affecting antigen antibody reaction
2. Serological techniques (4hrs)
o Introduction
o Materials Necessary for Basic Serologic Tests
o Collection, preparation, Complement inactivation and preservation of
serological specimens
o Shipment of serological specimens
o Dilution
Serial dilutions
Determination of end point and titer
3. Common Serologic Tests for Bacterial and Parasitic Infections (10hrs)
o Syphilis serology (5hrs)
Introduction
The stages of acquired syphilis
Congenital syphilis
Immunologic Manifestations
Diagnostic Evaluation
Dark field Microscopy
Serologic Tests
o Agglutination Tests for Febrile Diseases (3hrs)
Salmonella
Serologic Diagnosis
Rickettsiaceae
Serologic Diagnosis
o Serology of Streptolysin O (SLO) and Antistreptolysin O (ASO) (1hrs)
The Extra cellular Products of Streptococcus pyogenes
Antistreptolysin O (ASO)
Tests for Antistreptolysin O
Antistreptolysin O Titration
o Toxoplasmosis (1hr)
Serological tests
4. Common Serologic Tests for Viral Infections (8hrs)
o HIV Serology (3hrs)
HIV Antibody Tests
HIV Antibody Test Algorithm
Common HIV Antibody Tests
Enzyme Linked Immunosorbent Assays (ELISA)
Rapid Tests
Western Blot
Explanation of the Meaning of HIV Antibody Test Result
o Serology of Dengue virus
(1hr)
o Serology of H. pylori
o Serology of Hepatitis Viruses (3hrs)
Introduction
Hepatitis A virus (HAV)
Laboratory Diagnosis
Hepatitis B virus (HBV)
Laboratory Diagnosis
Hepatitis C virus (HCV)
Laboratory Diagnosis
Hepatitis G virus (HGV)
Laboratory Diagnosis
Hepatitis D virus (HDV)
Laboratory Diagnosis
Hepatitis E virus (HEV)
Laboratory Diagnosis
o Serology of Infectious mononucleosis (IM) (1hr)
5. Serology of Rheumatoid Factor, C-reactive protein, and Human Chorionic
Gonadotrophin Hormone (hCG) tests (5hrs)
o Rheumatoid Factor (RF) (1hr)
Serologic tests
o Acute-phase reactants/ Acute-phase Proteins (1hr)
C-reactive protein (CRP)
o Serology of Human Chorionic Gonadotrophin Hormone (hCG) (3hrs)
Introduction
Serology of hCG in Urine
Urine pregnancy tests
Factors that affect urine pregnancy test
Urine specimen collection
method of determining hCG
6. Some Miscellaneous Techniques and Monoclonal Antibody Production (2hrs)
o Miscellaneous techniques
Introduction to flow cytometry
Isolation of Lymphocyte Populations
Instrument and quality control
o Methods of Monoclonal Antibody Production
Hybridoma Technique
Recombinant DNA techniques