LESSON 3 LABORATORY SET-UP AND EQUIPMENTS Flashcards
Unwanted nucleic acids into the specimen
Contamination
Repeated amplification of the same target sequence leads to accumulation of amplification products (?) in the laboratory environment
10^9
Contamination Sources:
- Cross contamination between specimens
- Amplification product contamination
- Laboratory surfaces
- Ventilation ducts
- Reagents/supplies
- Hair, skin, saliva, and clothes of lab personnel
Contamination will be reduced.
1. Organization of [?]
2. Correct handling of [?]
3. Hands must be [?] and gloves and lab coats changed when moving between the designated areas.
4. Each room/area needs a separate set of [?]
workspace and equipment
reagents
washed
clearly labelled equipments and reagents
[?]Guidelines in Securing a License Operate a COVID-19 Testing Laboratory in the Philippines
AO 14 series 2020
COVID-19 testing shall only be done in a
DOH licensed
COVID-19 testing laboratory shall be a [?], with its own designated working room
separate unit
Strict adherence to biosafety and biosecurity guidelines, infection prevention and control prescribed by the [?]
RITM based on WHO recommendations
COVID-19 testing laboratories shall be strictly prohibited from [?]of examinations
outsourcing
only use [?] testing kits, reagents and devices
FDA registered
supervised by a [?], with training in Molecular Laboratory Diagnosis
Board Certified Clinical Pathologist
Physical Facilities according to AO 14 series 2020 Dedicated space for the following:
- Specimen reception
- Sample Preparation room/ Virus Inactivation and Nucleic acid Extraction (Pre-PCR)
- Reagent storage/ Handling Master mix preparation room (Pre-PCR)
- PCR/ Amplification
- Clerical activities room
- Template addition room
- Changing room
- Post-PCR area
Both personnel, including
cleaning personnel, and specimens
• Amplification [?]
product-free to product-rich
• Remove [?] before leaving one area
PPE
• Avoid or limit [?]
reverse direction
Features of each area
1. Each area has separate sets of [?]
2. [?]- serves as a clean bench area
3. - are utilized for the aseptic transfer of materials between two controlled areas without the need for personnel movement
4. Air pressure
Reagent preparation:
Sample preparation:
Post-PCR:
equipment and supplies
Dead air box with UV light
Pass boxes
Positive pressure ; Negative pressure ; Negative pressure
01 Sample preparation/ Nucleic acid Extraction/ Virus inactivation
Minifuge
BSC Class II A2
Autoclave
Heating block
Cold rack
01 Sample preparation/ Nucleic acid Extraction/ Virus inactivation Others
Vortex mixer
Pipettes
Refrigerator with freezer for specimens
Refrigerator with Freezer for nucleic acid extracts
Minifuge
Computer and printer for accessioning
02 Master Mix
Filter pipette tips
Laminar flow cabinet
PCR cabinet
02 Master Mix Others
Refrigerator and freezer for reagents
Cold rack for PRC tubes
Minifuge
Microcentrifuge
Micropipettes
LFC/ PCR cabinet
Vortex mixer
03 Amplification/ PCR Room
Microplate spinner
Thermocycler
RT-PCR
03 Amplification/ PCR Room Others
Minicentrifuge
Thermocycler
04 Post- PCR Room
Electrophoresis
UV transilluminators
Gel documentation (E-box)
PCR-ELISA
Separation of Nucleic acid from proteins and other cellular debris
Minifuge
in extraction, DNA should be separated from an organic solvent
Minifuge
- Protects both the personnel and product
BSC Class II A2
- required by AO 14
BSC Class II A2
- Steam under pressure to kill bacteria, viruses, fungi, and spores in laboratory equipments and media
Autoclave
- 121oC; 15 psi (pressure); 15 to 30 mins
Autoclave
- for glasswares and culture media
Autoclave
- for extraction kits that requires heating for elution buffer
Heating block
- some extraction kits needs to be heated
Heating block
- for PCR tube: allows samples to stay cold longer
Cold rack
– for extraction of DNA and separation of nucleic acid (supernatant) from cellular debris (lipids) to set down at the bottom
Centrifugation
Different case for elusion
Centrifugation
- are used to prevent cross contamination or “carry over” from one sample to another
Filter pipette tips
- to prevent carryover of the piston of the micropipette
Filter pipette tips
- Product protection only
Laminar flow cabinet
PCR cabinet
- has HEPA filter, which filters the air out
Laminar flow cabinet
- along with dead air box that does not filter the air coming from the cabinet
PCR cabinet
- to mix the microplates placed on the thermocycler
Microplate spinner
RPCR machine
Thermocycler
Thermocycler has varying temp
- Denaturation:94oC
- Annealing: 62-72o
- Extension: 4oC
- rapid result
RT-PCR
- not present in UB yet (million peso worth)
RT-PCR
Not present in AO 14
Post- PCR Room
- requires good pipetting technique
Electrophoresis
- new UV transilluminator
Gel documentation (E-box)
- UV will make the fluorescence stain more visible
Gel documentation (E-box)
UV transilluminators
Combined CC, IS, MolBio (Ab + enzyme)
PCR-ELISA
Ultrasensitive for the detection of nucleic acid/DNA sequence
PCR-ELISA
Number1 enemy in the lab
Contamination
Working from clean to dirty
Organization of workspace and equipment
Micropipettes have air filters
Correct handling of reagents
Aerosols are created upon aspiration of reagents
Correct handling of reagents
Reagents are handled in a specific area only
Correct handling of reagents
Changing rooms limit the contamination
Hands must be washed and gloves and lab coats changed when moving between the designated areas.
Ex.:
- Pipettes are dedicated in the PCR room only (one pipette per room)
- Minifuge are dedicated in the specimen reception only
Each room/area needs a separate set of clearly labelled equipments and reagents
Filipino guideline based on WHO recommendation or the requirements to operate in a COVID-19 lab
AO 14 series 2020 Guidelines in Securing a License Operate a COVID-19 Testing Laboratory in the Philippines
dedicated area where specimen is received
- Specimen reception
Ex. For COVID-19 testing
- Sample Preparation room/ Virus Inactivation and Nucleic acid Extraction (Pre-PCR)
Should be NO contamination (false +)
- Sample Preparation room/ Virus Inactivation and Nucleic acid Extraction (Pre-PCR)
Anything involved with preparing reagents, aliqouting it, handling it, and
- Reagent storage/ Handling Master mix preparation room (Pre-PCR)
Should be NO contamination (false +)
- Reagent storage/ Handling Master mix preparation room (Pre-PCR)
Products of amplification (amplicons) should be excluded in this area
- Reagent storage/ Handling Master mix preparation room (Pre-PCR)
PCR/ Amplification Main equipment:
Thermocycler and RT-PCR
: does not photocopy DNA (convert to complementary DNA or c DNA first)
Thermocycler
For correlating, analysing, understanding the results, analysing, and administrative work
Clerical activities room
template DNA (extracted DNA, cDNA, plasmid) is added to the reagent
Template addition room
photocopied by the RT-PCR
Template addition room
where template DNA and reagent are mixed tpgether
Template addition room
there could be more than 1 in a covid-19 area
Changing room
not required in RT-PCR laboratory (results are already apparent)
Post-PCR area
electrophoresis, PRC ELIsa detection, DNA sequencing
Post-PCR area
“contaminated/dirty area”
Post-PCR area
Present in UB since we have thermocycler
Post-PCR area
Unidirectional – either left to right or right to left
Floor Plan of Free-Standing COVID-19 Testing Lab
– must be restricted to minimum
Backflow traffic
[?] (clean area; amplification prod-free) → [?] → [?] (dirty area; amplification prod-rich)
Master mix/Rgt prep room
Sample prep room
amplification area
[?] goes inward, meaning the air stays there (contained)
negative pressure
Air is not circulating
Dead Air Box
Uses UV to sanitize the area
Dead Air Box
Could be present in all rooms
Laminar Air Flow and Dead Air Box
Could protect the product from any contamination, but does not
protect the personnel
Laminar Air Flow and Dead Air Box
For a sterilized area to work on
Laminar Air Flow and Dead Air Box
Depending on need/budget of the lab
Laminar Air Flow and Dead Air Box
Ensures that the products are not contaminated
Laminar Air Flow and Dead Air Box
Used for reagent mix or drying area
Laminar Air Flow and Dead Air Box
are utilized for the aseptic transfer of materials between two
controlled areas without the need for personnel movement
Pass boxes
Used to pass an extracted nucleic acid to a template addition to
prevent the personnel from moving around further
Pass boxes