I/LA2-A Vol. 16 No. 11 Replaces I/LA2-T December 1996 Vol. 13 No. 3 Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF-ANA); Approved Guideline This document addresses the criteria for immunofluorescence ANA testing, including test components, quantification of results, and classification criteria. ABC NCCLS... Serving the World's Medical Science Community Through Voluntary Consensus NCCLS is an international, interdisciplinary, nonprofit, scope, approach, and utility, and a line-by-line review of its standards-developing and educational organization that technical and editorial content. promotes the development and use of voluntary consensus standards and guidelines within the healthcare community. 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The document should receive a wide and thorough technical review, including an overall review of its December 1996 I/LA2-A Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF-ANA); Approved Guideline Abstract Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF- ANA); Approved Guideline (NCCLS document I/LA2-A) provides guidance for laboratorians who perform immunofluorescence tests for autoantibodies to nuclear antigen to detect diseases. Topics addressed include substrate and fixative variations, fluorescence-labeled conjugates, reference intervals, test results, and criteria for classification of systemic lupus erythematosus. [NCCLS. Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF-ANA); Approved Guideline. NCCLS document I/LA2-A (ISBN 1-56238-311-6). NCCLS, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania 19087, 1996.] THE NCCLS consensus process, which is the mechanism for moving a document through two or more levels of review by the patient testing community, is an ongoing process. Users should expect revised editions of any given document. Because rapid changes in technology may affect the procedures, bench and reference methods, and evaluation protocols used in testing, users should replace outdated editions with the current editions of NCCLS documents. Current editions are listed in the NCCLS Catalog, which is distributed to member organizations, or to nonmembers on request. If your organization is not a member and would like to become one, or to request a copy of the NCCLS Catalog, contact the NCCLS Executive Offices. Telephone: 610.688.0100; Fax: 610.688.0700. NCCLS VOL. 16 NO. 11 i I/LA2-A ISBN 1-56238-311-6 December 1996 ISSN 0273-3099 Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF-ANA); Approved Guideline Volume 16 Number 11 Robert M. Nakamura, M.D. Linda Ivor W. Harry Hannon, Ph.D. A. Myron Johnson, M.D. J. Mehsen Joseph, Ph.D. Robert F. Ritchie, M.D. Donald R. Tourville, Ph.D. Daniel Tripodi, Ph.D. S.K. Vadlamudi, D.V.M., Ph.D. ABC December 1996 I/LA2-A This publication is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means (electronic, mechanical, photocopying, recording, or otherwise) without written permission from NCCLS, except as stated below. NCCLS hereby grants permission to reproduce limited portions of this publication for use in laboratory procedure manuals at a single site, for interlibrary loan, or for use in educational programs provided that multiple copies of such reproduction shall include the following notice, be distributed without charge, and, in no event, contain more than 20% of the document's text. Reproduced with permission, from NCCLS publication I/LA2-A, Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF-ANA); Approved Guideline. Copies of the current edition may be obtained from NCCLS, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania 19087 USA. Permission to reproduce or otherwise use the text of this document to an extent that exceeds the exemptions granted here or under the Copyright Law must be obtained from NCCLS by written request. To request such permission, address inquiries to the Executive Director, NCCLS, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania 19087 USA. Copyright ©1996. The National Committee for Clinical Laboratory Standards. Suggested Citation [NCCLS. Quality Assurance for the Indirect Immunofluorescence Test for Autoantibodies to Nuclear Antigen (IF-ANA); Approved Guideline. NCCLS document I/LA2-A (ISBN 1-56238-311-6). NCCLS, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania 19087, 1996.] Proposed Guideline August 1986 Tentative Guideline April 1993 Approved Guideline December 1996 ISBN 1-56238-311-6 ISSN 0273-3099 NCCLS VOL. 16 NO. 11 iii December 1996 I/LA2-A Committee Membership Area Committee on Immunology and Ligand Assay Robert M. Nakamura, M.D., Scripps Clinic and Research Foundation Chairholder La Jolla, California Linda Ivor Del Mar, California Vice Chairholder W. Harry Hannon, Ph.D. Centers for Disease Control and Prevention Atlanta, Georgia A. Myron Johnson, M.D. Moses H. Cone Memorial Hospital Greensboro, North Carolina J. Mehsen Joseph, Ph.D. Maryland Department of Health & Mental Hygiene Baltimore, Maryland Robert F. Ritchie, M.D. Foundation for Blood Research Scarborough, Maine Donald R. Tourville, Ph.D. Zeus Scientific, Inc. Raritan, New Jersey Daniel Tripodi, Ph.D. Lebanon, New Jersey S.K. Vadlamudi, D.V.M., Ph.D. Food and Drug Administration Rockville, Maryland Advisors Kaiser J. Aziz, Ph.D. Food and Drug Administration Rockville, Maryland Jesse Edwards, Ph.D. National Institute for Standards and Technology Gaithersburg, Maryland Marvin L. Goldsmith Beckman Instruments Brea, California Tadashi Kawai, M.D. Jichi Medical School Kawachi, Tochigi, Japan James McBride, Ph.D. UCLA Medical Center Los Angeles, California Thomas A. O'Brien, Ph.D. Raritan, New Jersey Jerry W. Smith, Ph.D. Difco Laboratories Ann Arbor, Michigan Robert W. Veltri, Ph.D. Cytodiagnostics, Inc. Oklahoma City, Oklahoma NCCLS VOL. 16 NO. 11 iv December 1996 I/LA2-A Leonard Wilson Food and Drug Administration Bethesda, Maryland Helen M. Free, D.Sc. Bayer Corporation Board Liaison Elkhart, Indiana Denise M. Lynch, M.T.(ASCP) NCCLS Staff Liaison Wayne, Pennsylvania Patrice E. Polgar NCCLS Editor Wayne, Pennsylvania NCCLS VOL. 16 NO. 11 v December 1996 I/LA2-A ACTIVE MEMBERSHIP (as of 1 October 1996) Sustaining Members International Federation of National Institute of Standards Clinical Chemistry and Technology American Association for International Society for Ohio Department of Health Clinical Chemistry Analytical Cytology Oklahoma State Department of Bayer Corporation Italian Society of Clinical Health Beckman Instruments, Inc. Biochemistry Ontario Ministry of Health Becton Dickinson and Company Japan Association of Medical South African Institute for Boehringer Mannheim Technologists Medical Research Diagnostics, Inc. 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