Blood Detection and Enhancement Flashcards
Give examples of presumptive tests.
Hemastix
Hemident
Hexagon OBTI
Kastle Meyer test
Describe Hemastix.
3’ plastic strips with a reagent material at the tip
How does the Hemastix reaction work?
Reagent at tip detects the peroxide-like activity of hemoglobin
What happens when Hemastix detects hemoglobin?
Tip turns green
What is a limitation of Hemastix?
Cannot differentiate between human and animal blood
Describe Hemident.
Disposable tube containing two chemical reagent ampoules
Swab of stain is placed inside tube and both ampoules are broken
What is an indication of blood in Hemident?
Blue/green reaction
What is a limitation of Hemident?
Does not distinguish between human and animal blood
What is another name for Hemident?
McPhail’s Reagent
Describe how Hexagon OBTI works.
Swab added into transport medium
Medium added to test bar
What does two lines mean in Hexagon OBTI?
Human origin
Up to how much dilution can Hexagon OBTI detect blood?
1:1,000,000
How many red blood cells are required for a positive Hexagon OBTI result?
As few as 500 RBCs required
What is another name for the Kastle Meyer test?
Phenolphthalein
Outline the 3 solution process of the Kastle Meyer test.
Moistent swab with solution A
Swab stain
Add 1-2 drops of Sol B (Phenolphthalein)
Add 1-2 drops of Sol C (hydrogen peroxide solution)
Describe what an inconclusive Kastle-Meyer result would look like.
Delayed reaction (takes more than 30 seconds)
Swab turns pink before addition of the hydrogen peroxide solution
Describe what a positive Kastle Meyer result would look like.
Swab turns pink after the addition of the peroxide solution
Describe what a negative Kastle Meyer test would look like.
No pink colour change
No reaction after addition of peroxide solution
What is a limitation of the Kastle Meyer test?
Not specific for blood; some materials can give false positives
Give exmaples of material that can lead to a false positive in the Kastle Meyer test.
Plant matter (ex. broccoli, horseradish, potatoes)
Bleach
Some soaps and disinfectants
Rust or metal oxides
Some adhesives and glues
What is done after a presumptive blood test?
Confirmatory testing - swabs are sent to CFS for analysis.
Differentiate between blood dectection and enhancement.
Detection of blood is finding that blood is present.
Enhancement is the act of increasing its visibility.
What factors should be considered when detecting or enhancing blood?
3
Necessity
Health and safety
Interference with other examinations
List some things to be considered when deciding if blood enhancement and/or detection is necessary.
5
What is that stain?
Is it already visible/detectable as is?
What is the best option?
What benefit can be achieved by doing it?
Preference or direction from BPA ANalyst