Selecting the right blood test tube and techniques for an accurate diagnosis

Page last updated: Wednesday, 3 May 2017 - 12:55pm

Please note: This content may be out of date and is currently under review.

Selecting the right tube for the chosen blood test, taking sufficient samples, and careful handling of those samples gives DAFWA Diagnostic Laboratory Services (DDLS) pathologists the best chance of accurately diagnosing a disease.

Matching the tube to the blood test

Sample requirements differ depending on whether the test request is for virology, serology, clinical biochemistry and/or haematology. The correct tubes for various applications are listed in Table 1.

Table 1 Match the tube to the blood test
Tube type Cap colour Amount in

millilitres

(mL)
Tests performed
Clotted (plain)
  • red
  • white
10
  • serology (antibody/antigen tests)
Lithium heparin
  • green
  • orange
10
  • clinical biochemistry
  • trace elements (selenium, cobalt, copper, zinc)
  • vitamins A and E

Ethylenediaminetetraacetic acid (EDTA)

  • pink
  • purple
5
  • haematology and haemoparasite examination
  • thiamine assay
  • polymerase chain reaction (PCR) - including malignant catarrhal fever (MCF) and Hendra virus

Do not use fluoride oxalate tubes and specialist coagulation profile tubes for the tests in Table 1 above. Where specialised tests are required, contact DDLS on +61 (0)8 9368 3351 before submission.

What makes disease diagnosis difficult?

The following issues can make it difficult to test samples and/or to interpret test results:

Haemolysis

Turbulent collection, rapid temperature changes, moisture, and rough handling increase haemolysis.

Solution

Remove the needle before expressing blood from a syringe into a tube as increased pressure causes haemolysis. Let samples cool to room temperature before refrigeration. Leave plain tubes to clot. To mix anticoagulant tubes, gently tilt from end to end.

Insufficient sample

Incorrect ratios of anticoagulant to blood may affect results. Insufficient volume will also limit the number of tests available.

Solution

Fill blood tubes to the indicated line to ensure correct anticoagulant concentration and to provide sufficient blood for multiple tests.

Too few samples

Solution

Take samples from cohort animals to allow thorough investigation of herd disease status. Ten blood samples are ideal. Supplying multiple samples reduces the risk of misinterpretation due to individual or diurnal variation.

Aged samples

Some blood parameters can break down quickly following collection. Depending on the tests required, collection and receival at the laboratory can be critical for getting an accurate result.

Solution

For haematology and thiamine tests, samples should be received by DDLS within 24 hours of collection. Samples taken for biochemistry tests should be received by DDLS within 48 hours of collection and kept cool (not frozen). Samples collected for virus testing can be received after 48 hours as once clotted, antibodies in serum remain stable for a prolonged period.

Prior treatment

Blood sampling after veterinary treatment can significantly alter results.

Solution

Consider collecting blood before treatment and storing samples pending response to treatment. List any prior treatments on DDLS submission form.

More information

Contact DDLS on +61 (0)8 9368 3351 or see the livestock biosecurity program contacts webpage.

Contact information

Livestock Biosecurity