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Erythrocyte Sedimentation Rate (ESR)

2 min read

INTRODUCTION

The erythrocyte sedimentation rate (ESR) provides a non-specific measure of inflammatory activity and plasma protein levels. This document describes the process for performing the classical Wintrobe method of ESR measurement. Standardization of this technique aims to provide accurate, reliable ESR results for aiding in diagnosis and monitoring of inflammatory conditions.

Test Catageory
فئة التحليل

Hematology

Refrence Books
كتب مراجع

1. Daice & Lewis Practical Hematology

Skills Required
المهارات المطلوبة

1. Pipetting
2. Timing

Video Resources
مصادر فيديو

عربي
English

Purpose of the Test

To measure the rate at which red blood cells sediment in a period of 1 hour as an indication of inflammation.

Principle

Red blood cells form rouleaux stacks under the influence of plasma proteins such as fibrinogen and immunoglobulins. These rouleaux settle faster than individual cells. The ESR is a non-specific measure of inflammatory activity.

Equipments

1. ESR RAK
2. ESR tube (3.8% sodium citrate in a 4:1 ratio.)

Sample Type

Whole blood anticoagulated with EDTA. Fresh samples should be tested within 2 hours.

Procedure

1. Fill the ESR tube to the 0 line and Mix whole blood and 3.8% sodium citrate in a 4:1 ratio.
2. place in ESR RAK.
3. Read the level of plasma column after 30 minutes.
4. Report ESR result in mm at the end of 1 hour.


Reference range:
Male: 0-15 mm/hr
Female: 0-20 mm/hr
Normal Range

Quality Control:

1. Run two levels of control with each batch of samples.
2. Results should fall within established confidence limits.
3. it is better to repeat the test at least 3 times and then determine the final result

Warning :

1. Abnormal RBC morphology, anemia and polycythemia affect results.
2. Results are methodology and temperature dependent.

Quick Notice

M. Sulieman

mohammad@mlsgaate.com

Follow specified blood collection and handling protocol for ESR. Perform test within 2 hours of collection. Adhere to standard procedure.
التزم ببروتوكول جمع الدم والتعامل المحدد لـ . أجر الاختبار في غضون ساعتين من الجمع. التزم بالإجراء القياسي.

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