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C-Reactive Protein (CRP)
  A highly accurate and sensitive test for
              inflammation and infection
C-Reactive Protein (CRP)
C-Reactive Protein (CRP) is an acute phase protein produced by the liver in response
to inflammation and infection. The measurement of CRP is therefore useful in the
detection of viral infections, infectious diseases, tissue injury, stress, trauma and
inflammatory conditions.


One of the most common uses of CRP is the post operative                             Features of the Randox CRP assay
monitoring of renal transplant patients. Elevated levels of CRP
seven to twelve days after surgery correlate with the risk of                        •	 Assay	range	2.88	-	220mg/l	
rejection. If the surgery was successful levels should fall to within                •	 	 iquid	ready-to-use	reagents	stable	to	expiry	date	at	+2-8oC
                                                                                        L
the normal range after five to seven days.                                           •	 	 o	significant	interference	from	free	bilirubin	up	to	25mg/dl,	
                                                                                        N
                                                                                        conjugated	bilirubin	up	to	25mg/dl,	haemoglobin	up	to	1000mg/
CRP is used to:                                                                         dl,	intralipid	up	to	200mg/dl	and	triglycerides	up	to	250mg/dl	
                                                                                     •	 	ntra-assay	precision	5.9%	CV	at	5.91mg/l,	1.68%	CV	at	154mg/l	
                                                                                        I
•	 Predict	the	risk	of	CVD                                                           •	 	nter-assay	precision	9.95%	CV	at	5.94mg/l,	2.98%	CV	at	
                                                                                        I
•	 Detect	neonatal	bacterial	infection	                                                 156mg/l	
•	 Predict	renal	allograft	rejection                                                 •	 	 ully	automated	applications	available	for	wide	range	of	
                                                                                        F
•	 	 etect	inflammatory	disorders	and	bacterial/viral	infections
   D                                                                                    instruments

The	normal	range	for	CRP	is	<6mg/l	however	levels	within	this	                       Will Randox CRP run on my analyser?
range	are	associated	with	cardiac	risk.	Levels	between	10-20mg/l	
are	associated	with	viral	infections	while	levels	from	10-40mg/l	                    Randox	provides	freedom	of	choice	by	offering	a	range	of	CRP	
are seen in myocardial infarction and upper respiratory tract                        reagents that will run on a wide variety of analysers.
infections.	Levels	between	30-200mg/l	are	often	found	post	                          The	Randox	CRP	range	is	compatible	for	use	on	over	40	clinical	
surgery	as	well	as	in	bacterial	infections	and	rheumatoid	arthritis.	                chemistry	analysers,	including	the	RX	series.




CRP levels showing cardiac risk and diseases

                                                                                                                        rheumatoid arthritis

                                       high risk                                                        after surgery
                intermediate risk                                          myocardial infarction
     low risk                                                 viral infection
                    normal range



 0              1                  3               6        10                  20             30            40              100               180

                                                                                 CRP assay range

                         hsCRP assay range

                                                       Full Range CRP assay range
Randox has a complete range of CRP
tests available:
•	Full	range	CRP
•	High	sensitivity	CRP
•	CRP


  Randox Full Range CRP –                                              High Sensitivity CRP
  2 in 1 convenience
                                                                    The	American	Heart	Association	and	Centre	for	Disease	Control	
  The	extended	reporting	capability	of	the	
                                                                   and	Prevention,	recommend	high	sensitivity	CRP	(hsCRP)	as	a	
  Randox	Full	Range	CRP	assay	enables	labs	to	
  improve	efficiency,	save	time	and	costs	by	using	               more	sensitive	marker	of	Cardiovascular	Disease	(CVD)	risk	
  a	single	method	for	both	low	and	elevated	CRP	                 compared to traditional CRP assays. hsCRP is particularly useful in
  concentrations.                                               predicting future cardiac events in individuals with no previous
                                                                history	of	CVD.	Healthy	individuals	with	CRP	levels	higher	than	
  Full	range	CRP	assays	are	particularly	important	             3mg/l	are	two	to	four	times	more	likely	to	have	a	heart	attack	or	stroke.			
  for	the	early	detection	of	bacterial	infections	in	
  newborn	babies,	where	initial	values	are	very	low	
                                                                Approximately	half	of	all	heart	attacks	occur	in	patients	who	have	
  and can rise rapidly with the onset of infection.
                                                                a	normal	lipid	profile	and	are	classified	as	low	risk	based	on	traditional	
                                                                methods of risk estimation. The measurement of hsCRP can therefore
                                                                 help	clinicians	to	identify	these	individuals	earlier;	it	can	also	be	used	
                                                                  to evaluate the risk of a recurrent cardiac event. In high risk groups
                                                                   there	have	even	been	indications	that	CRP	could	be	used	as	a	
                                                                    prognostic tool.


                                                                       Features of the Randox hsCRP assay
                                                                          •	Assay	range	0.477	–	10.0mg/l
                                                                           •	Liquid	ready-to-use	reagents	stable	to	expiry	date	at	+2-8oC
Features of the Randox                                                       •	No	significant	interference	from	free	bilirubin	up	to	25mg/dl,					
Full Range CRP assay                                                           		conjugated	bilirubin	up	to	25mg/dl,	haemoglobin	up	to
                                                                                  1000mg/dl,	intralipid	up	to	800mg/dl	and	triglycerides	up	to	
•		Assay	range	0.3	–	161mg/l	                                                       1000mg/dl	
•		Liquid	ready-to-use	reagents	stable	to	expiry	date	at	+2-8oC                       •	Antigen	excess	effects	are	not	noted	with		            	
•		No	significant	interference	from	free	bilirubin	up	to		   	        	                  		concentrations	<500mg/l
	 25mg/dl,	conjugated	bilirubin	up	to	25mg/dl,	haemoglobin	up	to		 	
                                                                                            •	Intra-assay	precision	2.57%	CV	at	1.10mg/l,	
	 1000mg/dl,	intralipid	up	to	800mg/dl	and	triglycerides	up	to	1000mg/dl	
                                                                                               		1.21%	CV	at	4.91mg/l	
•	 Antigen	excess	effects	are	not	noted	with	concentrations	<740mg/l
                                                                                                    •	Inter-assay	precision	4.44%	CV	at	1mg/l,
•	 Intra-assay	precision	2.78%	CV	at	1.07mg/l,	1.03%	CV	at	150mg/l	
•	 Inter-assay	precision	5.47%	CV	at	1.08mg/l,	1.72%	CV	at	151mg/l	
                                                                                                        		1.22%	CV	at	4.98mg/l	
•	 A	correlation	coefficient	of	r	=	1.00	was	obtained	with	another	                                          •	Fully	automated	applications		
	 commercially	available	method                                                                                  available	for	wide	range	of								
•	 Fully	automated	applications	available	for	wide	range	of	instruments	                                               instruments
Description                                                                                       Assay Range                                    Size                                                                  Cat. No.


     CRP                                                                                               5	-	200mg/l                                    R1	7	x	50ml,	R2	1	x	50ml                                              CP2572
     CRP (Dimension)                                                                                   3.57	-	219mg/l                                 200	Tests                                                             CP2852
     CRP                                                                                               2.88	-	220mg/l                                 R1	6	x	20ml,	R2	3	x	9ml	                                              CP3826
     CRP                                                                                               5	-	200mg/l                                    R1	8	x	100ml,	R2	2	x	70ml                                             CP7949
     CRP                                                                                               5	-	200mg/l                                    R1	7	x	20ml,	R2	2	x	12ml                                              CP7950
     CRP                                                                                               5	-	200mg/l                                    R1	6	x	66ml,	R2	6	x	13ml                                              CP9742
     Full Range CRP                                                                                    0.3	-	161mg/l                                  R1	2	x	11ml,	R2	2	x	11ml                                              CP3847
     Full Range CRP                                                                                    0.3	-	161mg/l                                  R1	4	x	50ml,	R2	4	x	50ml                                              CP3849
     Full Range CRP                                                                                    0.3	-	161mg/l                                  R1	5	x	100ml,	R2	5	x	100ml                                            CP3850
     Full Range CRP                                                                                    0.26	-	184mg/l                                 R1	2	x	13ml,	R2	2	x	13ml                                              CP8028
     High Sensitivity CRP                                                                              0.477	-	10mg/l                                 R1	2	x	11ml,	R2	2	x	11ml                                              CP3885
     High Sensitivity CRP                                                                              0.27	-	9.07mg/l                                R1	2	x	13ml,	R2	2	x	13ml                                              CP8029




Dedicated	liquid	ready-to-use	CRP	controls	and	calibrators	are	                                                                         RIQAS	is	the	largest	international	EQA	scheme	in	the	world.	
also	available	to	complement	our	complete	range	of	CRP	assays.		                                                                        The	RIQAS	specific	proteins	programme	is	suitable	for	
•	Liquid	ready-to-use	                                                                                                                  monitoring	26	different	protein	assays	including	CRP.		
•	100%	human	material	                                                                                                                  •	Bi-weekly	reporting	
•	Standardised	to	BCR/CAP/IFCC	CRM470                                                                                                   •	100%	human	
•	Stable	to	expiry	date	when	stored	at	+2-8oC                                                                                           •	Liquid	ready-to-use	samples




      Description                                                                                       Size                               Cat. No.


      High Sensitivity CRP Control Level 1                                                              10	x	1ml                           CP2476
      High Sensitivity CRP Control Level 2                                                              10	x	1ml                           CP2477
      CRP Control Level 2                                                                               10	x1ml	                           CP2480
      CRP Control Level 3                                                                               10	x	1ml                           CP2481
      Liquid Specific Protein Control Level 1                                                           3	x	1ml	                           PS2682
      Liquid Specific Protein Control Level 2                                                           3	x	1ml	                           PS2683
      Liquid Specific Protein Control Level 3                                                           3	x	1ml                            PS2684
      CRP Multi-Point Calibrator Set                                                                    3	x	1ml                            CP2179
      CRP Calibrator Series                                                                             6	x	2ml	                           CP2479
      High Sensitivity CRP Calibrator Series                                                            6	x	2ml	                           CP2478
      Full Range CRP Calibrator Series                                                                  6	x	1ml	                           CP2499
      Liquid Specific Protein Calibrator                                                                5	x	1ml                            	IT2691
      RIQAS Specific Proteins Programme                                                                 Bi-weekly                          	RQ9114
                                                                                                                                                                                                                                                                              LT118	JAN12




Randox Laboratories Limited, 55	Diamond	Road,	Crumlin,	County	Antrim,	BT29	4QY,	United	Kingdom
T	+44	(0)	28	9442	2413	 F	+44	(0)	28	9445	2912	 E	marketing@randox.com	 I	www.randox.com

Information	correct	at	time	of	print.		All	Randox	products	made	in	the	UK.	
Randox	Laboratories	Limited	is	a	company	registered	within	Northern	Ireland	with	company	number	N.I.	15738.		VAT	Registered	Number:	GB	353	030	400.	Product	availability	may	vary	from	country	to	country.	Please	contact	your	local	Randox	representative	for	information.

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C-Reactive Protein (CRP) Test for Inflammation & Infection

  • 1. C-Reactive Protein (CRP) A highly accurate and sensitive test for inflammation and infection
  • 2. C-Reactive Protein (CRP) C-Reactive Protein (CRP) is an acute phase protein produced by the liver in response to inflammation and infection. The measurement of CRP is therefore useful in the detection of viral infections, infectious diseases, tissue injury, stress, trauma and inflammatory conditions. One of the most common uses of CRP is the post operative Features of the Randox CRP assay monitoring of renal transplant patients. Elevated levels of CRP seven to twelve days after surgery correlate with the risk of • Assay range 2.88 - 220mg/l rejection. If the surgery was successful levels should fall to within • iquid ready-to-use reagents stable to expiry date at +2-8oC L the normal range after five to seven days. • o significant interference from free bilirubin up to 25mg/dl, N conjugated bilirubin up to 25mg/dl, haemoglobin up to 1000mg/ CRP is used to: dl, intralipid up to 200mg/dl and triglycerides up to 250mg/dl • ntra-assay precision 5.9% CV at 5.91mg/l, 1.68% CV at 154mg/l I • Predict the risk of CVD • nter-assay precision 9.95% CV at 5.94mg/l, 2.98% CV at I • Detect neonatal bacterial infection 156mg/l • Predict renal allograft rejection • ully automated applications available for wide range of F • etect inflammatory disorders and bacterial/viral infections D instruments The normal range for CRP is <6mg/l however levels within this Will Randox CRP run on my analyser? range are associated with cardiac risk. Levels between 10-20mg/l are associated with viral infections while levels from 10-40mg/l Randox provides freedom of choice by offering a range of CRP are seen in myocardial infarction and upper respiratory tract reagents that will run on a wide variety of analysers. infections. Levels between 30-200mg/l are often found post The Randox CRP range is compatible for use on over 40 clinical surgery as well as in bacterial infections and rheumatoid arthritis. chemistry analysers, including the RX series. CRP levels showing cardiac risk and diseases rheumatoid arthritis high risk after surgery intermediate risk myocardial infarction low risk viral infection normal range 0 1 3 6 10 20 30 40 100 180 CRP assay range hsCRP assay range Full Range CRP assay range
  • 3. Randox has a complete range of CRP tests available: • Full range CRP • High sensitivity CRP • CRP Randox Full Range CRP – High Sensitivity CRP 2 in 1 convenience The American Heart Association and Centre for Disease Control The extended reporting capability of the and Prevention, recommend high sensitivity CRP (hsCRP) as a Randox Full Range CRP assay enables labs to improve efficiency, save time and costs by using more sensitive marker of Cardiovascular Disease (CVD) risk a single method for both low and elevated CRP compared to traditional CRP assays. hsCRP is particularly useful in concentrations. predicting future cardiac events in individuals with no previous history of CVD. Healthy individuals with CRP levels higher than Full range CRP assays are particularly important 3mg/l are two to four times more likely to have a heart attack or stroke. for the early detection of bacterial infections in newborn babies, where initial values are very low Approximately half of all heart attacks occur in patients who have and can rise rapidly with the onset of infection. a normal lipid profile and are classified as low risk based on traditional methods of risk estimation. The measurement of hsCRP can therefore help clinicians to identify these individuals earlier; it can also be used to evaluate the risk of a recurrent cardiac event. In high risk groups there have even been indications that CRP could be used as a prognostic tool. Features of the Randox hsCRP assay • Assay range 0.477 – 10.0mg/l • Liquid ready-to-use reagents stable to expiry date at +2-8oC Features of the Randox • No significant interference from free bilirubin up to 25mg/dl, Full Range CRP assay conjugated bilirubin up to 25mg/dl, haemoglobin up to 1000mg/dl, intralipid up to 800mg/dl and triglycerides up to • Assay range 0.3 – 161mg/l 1000mg/dl • Liquid ready-to-use reagents stable to expiry date at +2-8oC • Antigen excess effects are not noted with • No significant interference from free bilirubin up to concentrations <500mg/l 25mg/dl, conjugated bilirubin up to 25mg/dl, haemoglobin up to • Intra-assay precision 2.57% CV at 1.10mg/l, 1000mg/dl, intralipid up to 800mg/dl and triglycerides up to 1000mg/dl 1.21% CV at 4.91mg/l • Antigen excess effects are not noted with concentrations <740mg/l • Inter-assay precision 4.44% CV at 1mg/l, • Intra-assay precision 2.78% CV at 1.07mg/l, 1.03% CV at 150mg/l • Inter-assay precision 5.47% CV at 1.08mg/l, 1.72% CV at 151mg/l 1.22% CV at 4.98mg/l • A correlation coefficient of r = 1.00 was obtained with another • Fully automated applications commercially available method available for wide range of • Fully automated applications available for wide range of instruments instruments
  • 4. Description Assay Range Size Cat. No. CRP 5 - 200mg/l R1 7 x 50ml, R2 1 x 50ml CP2572 CRP (Dimension) 3.57 - 219mg/l 200 Tests CP2852 CRP 2.88 - 220mg/l R1 6 x 20ml, R2 3 x 9ml CP3826 CRP 5 - 200mg/l R1 8 x 100ml, R2 2 x 70ml CP7949 CRP 5 - 200mg/l R1 7 x 20ml, R2 2 x 12ml CP7950 CRP 5 - 200mg/l R1 6 x 66ml, R2 6 x 13ml CP9742 Full Range CRP 0.3 - 161mg/l R1 2 x 11ml, R2 2 x 11ml CP3847 Full Range CRP 0.3 - 161mg/l R1 4 x 50ml, R2 4 x 50ml CP3849 Full Range CRP 0.3 - 161mg/l R1 5 x 100ml, R2 5 x 100ml CP3850 Full Range CRP 0.26 - 184mg/l R1 2 x 13ml, R2 2 x 13ml CP8028 High Sensitivity CRP 0.477 - 10mg/l R1 2 x 11ml, R2 2 x 11ml CP3885 High Sensitivity CRP 0.27 - 9.07mg/l R1 2 x 13ml, R2 2 x 13ml CP8029 Dedicated liquid ready-to-use CRP controls and calibrators are RIQAS is the largest international EQA scheme in the world. also available to complement our complete range of CRP assays. The RIQAS specific proteins programme is suitable for • Liquid ready-to-use monitoring 26 different protein assays including CRP. • 100% human material • Bi-weekly reporting • Standardised to BCR/CAP/IFCC CRM470 • 100% human • Stable to expiry date when stored at +2-8oC • Liquid ready-to-use samples Description Size Cat. No. High Sensitivity CRP Control Level 1 10 x 1ml CP2476 High Sensitivity CRP Control Level 2 10 x 1ml CP2477 CRP Control Level 2 10 x1ml CP2480 CRP Control Level 3 10 x 1ml CP2481 Liquid Specific Protein Control Level 1 3 x 1ml PS2682 Liquid Specific Protein Control Level 2 3 x 1ml PS2683 Liquid Specific Protein Control Level 3 3 x 1ml PS2684 CRP Multi-Point Calibrator Set 3 x 1ml CP2179 CRP Calibrator Series 6 x 2ml CP2479 High Sensitivity CRP Calibrator Series 6 x 2ml CP2478 Full Range CRP Calibrator Series 6 x 1ml CP2499 Liquid Specific Protein Calibrator 5 x 1ml IT2691 RIQAS Specific Proteins Programme Bi-weekly RQ9114 LT118 JAN12 Randox Laboratories Limited, 55 Diamond Road, Crumlin, County Antrim, BT29 4QY, United Kingdom T +44 (0) 28 9442 2413 F +44 (0) 28 9445 2912 E marketing@randox.com I www.randox.com Information correct at time of print. All Randox products made in the UK. Randox Laboratories Limited is a company registered within Northern Ireland with company number N.I. 15738. VAT Registered Number: GB 353 030 400. Product availability may vary from country to country. Please contact your local Randox representative for information.