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Gold Top Tube (SST): Serum Separator Tube For Biochemistry & Immunology Test
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Gold Top Tube (SST): Serum Separator Tube For Biochemistry & Immunology Test

The Gold Top Tube, also called the Serum Separator Tube (SST), is one of the most commonly used blood collection tubes in clinical laboratories.

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Its unique gold or yellowish-gold top and gel separator make it a critical choice for chemistry, serology, and immunology testing.

What is a Gold Top Tube and How is it Used in Blood Collection?

A Gold Top Tube (SST) is a blood collection tube that contains:

  • Clot Activator – Speeds up the clotting process (typically within 30 minutes).
  • Thixotropic Gel Separator – Forms a physical barrier between serum and cells after centrifugation.

This design ensures serum is clean and cell-free, preventing metabolic activity from affecting analyte levels.

Primary Uses:

  • Routine chemistry panels
  • Liver function tests (LFT)
  • Kidney function tests (KFT)
  • Lipid profile
  • Thyroid profile
  • Hormone assays
  • Vitamin D, B12, and other nutritional markers
  • Serology tests (HIV, HBsAg, HCV, etc.)

After collection, the tube must be allowed to clot completely (usually 30 minutes), then centrifuged. The gel barrier prevents contamination, allowing serum to remain stable for testing.

Science Behind the Gold Top Tube

Definition:
The Gold Top Tube is a serum separator tube designed for collection, clotting, and serum separation in one step.

How It Works:

  1. Draw Blood: Perform standard venipuncture.
  2. Clot Activation: Clot activator promotes rapid clotting.
  3. Centrifugation: Spin at recommended speed/time; gel rises to form a stable barrier.
  4. Serum Separation: Serum is separated from cells, ready for testing.
  5. Transport & Testing: Serum remains stable for hours to days, depending on the analyte.

Importance & Key Features of Gold Top Tube

Key FeatureDescription
AdditiveClot activator + gel separator
ColorGold / yellow-gold top
Tube TypeSerum separator tube (SST)
Common UsesChemistry panels, serology, immunology, vitamin & hormone tests
Volume Range3 mL – 10 mL
MaterialPlastic or glass
Mixing RequirementGently invert 5-6 times to activate clotting
Clotting Time30 minutes (room temperature)
Centrifuge Requirement10–15 minutes at recommended speed
StorageRefrigerate serum if not tested immediately
CompatibilityAutomated chemistry analyzers

Top 10 Laboratory Tests That Use Gold Top Tube

  1. Liver Function Test (LFT) – To evaluate liver health
  2. Kidney Function Test (KFT) – BUN, Creatinine, Electrolytes
  3. Lipid Profile – Cholesterol, LDL, HDL, Triglycerides
  4. Thyroid Profile – TSH, T3, T4
  5. Vitamin D & B12 – Nutritional assessment
  6. Hormone Panels – Cortisol, Testosterone, Estradiol
  7. Glucose (Fasting/PP) – When serum-based testing is needed
  8. Serology – HIV, HBsAg, HCV, Syphilis screening
  9. CRP / ESR by Serum – Inflammatory markers
  10. Electrolytes & Chemistry Panels – Sodium, Potassium, Calcium

Best Practices for Using Gold Top Tube in Phlebotomy

  • Verify Patient Identity: Confirm before collection.
  • Proper Mixing: Invert 5-6 times to mix clot activator.
  • Allow Clotting: Wait 30 minutes before centrifugation.
  • Correct Centrifugation: Follow lab protocol to avoid hemolysis.
  • Avoid Hemolysis: Use gentle venipuncture technique.
  • Timely Processing: Centrifuge and separate serum promptly.

10 Step-by-Step Guide to Proper Gold Top Tube Usage

  1. Gather supplies (SST tube, needle, tourniquet, swabs).
  2. Verify patient identity and label tube.
  3. Prepare venipuncture site (alcohol swab, let dry).
  4. Perform venipuncture, attach tube.
  5. Fill tube completely to the fill line.
  6. Gently invert 5–6 times to mix clot activator.
  7. Allow clotting for 30 minutes.
  8. Centrifuge at correct speed/time.
  9. Check for proper gel barrier separation.
  10. Transport serum to lab analyzer or store properly.

7 Common Mistakes to Avoid

  1. Underfilling tube – leads to incorrect serum-to-cell ratio
  2. Not waiting for complete clotting – may cause fibrin strands in serum
  3. Improper mixing – clot activator may not work properly
  4. Hemolysis due to rough handling – interferes with results
  5. Wrong centrifugation speed/time – incomplete separation
  6. Delayed centrifugation – can change analyte levels
  7. Mislabeling – critical error for patient safety

5 Innovations & Advances in Gold Top Tube Technology

  1. Rapid Clot Activators: Reduce clotting time to <10 minutes.
  2. Advanced Gel Formulations: Provide more stable barrier, less interference.
  3. Leak-proof Closures: Better sample transport safety.
  4. RFID-Enabled Tubes: For real-time sample tracking.
  5. Integrated Microtubes: For pediatric and low-volume collections.

FAQs: Gold Top Tube (SST)

1. How long does it take for blood to clot in a Gold Top Tube?
Usually 30 minutes at room temperature.

2. Can I centrifuge immediately after collection?
No, wait for complete clotting to avoid fibrin contamination.

3. Is gel toxic to serum?
No, it is inert and safe for clinical use.

4. How long is serum stable after separation?
Typically 24–48 hours refrigerated; follow lab guidelines.

5. Can hemolyzed serum be used?
No, hemolysis affects many chemistry results.

Drlogy Blood Cllection Tube Guide

Here are 14 types of blood colelction tubes with color.

 

1. Lavender Top Tube8. Royal Blue Top Tube
2. Red Top Tube9. Light Green Top Tube
3. Yellow Top Tube10. Black Top Tube
4. Light Blue Top Tube11. Tan Top Tube
5. Green Top Tube12. Orange Top Tube
6. Gray Top Tube13. Gold Top Tube
7. Pink Top Tube14. White Top Tube

Conclusion

The Gold Top Tube (SST) is a cornerstone of modern clinical chemistry. Its clot activator and gel separator ensure a clean, cell-free serum sample ideal for biochemistry, immunology, and serology tests. Proper technique—especially mixing, clotting time, and centrifugation—is critical to obtaining reliable results that support accurate diagnosis and treatment.

Check Complete Guide on Drlogy Blood Collection Tubes with Color Codes & Uses to master phlebotomy techniques, improve sample handling, and reduce pre-analytical errors

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