Herpes Simplex Seroconversion Panel by Western Blot (Paired)

General Information

Lab Name

HSV Seroconversion by WB(Pair)

Lab Code

HSWBP

Epic Name

HSV Seroconversion by WB, Paired Sera

Description

The detection of HSV1 and HSV2 IgG class antibodies by Western blot in acute and convalescent serum. For accurate seroconversion determination, the acute and convalescent samples should be drawn at least 12 -16 weeks apart.

HSV1 and HSV2 proteins from detergent lysates ("Bernstein's lysate") of HSV infected cells are separated by electrophoresis and transferred to nitrocellulose paper. The strips of paper or "blots" containing separated fixed proteins from either HSV-1 or HSV-2 are incubated with the patient's serum. Antibodies, which bind to the viral proteins, are detected by an enzyme-mediated color change. The pattern of staining on the two blots (HSV-1 and HSV-2) is dictated by the number and identity of the HSV proteins to which the patient's immune system has antibody.

This test is reported as:

  • HSV1 - Positive, Negative or Indeterminate for both the acute and convalescent sera
  • HSV2 - Positive, Negative or Indeterminate for both the acute and convalescent sera

Single sera or CSF, see Herpes Simplex Western Blot [HSWB]

Components

Code Name
ADES20 HSV WB (Pair) Specimen (1st)
ACDD20 HSV WB (Pair) Date Drawn (1st)
HSWAC1 HSV1 WB Acute Result
HSWAC2 HSV2 WB Acute Result
CDES20 HSV WB (Pair) Specimen (2nd)
CVDD20 HSV WB (Pair) Date Drawn (2nd)
HSWCV1 HSV1 WB Convalescent Result
HSWCV2 HSV2 WB Convalescent Result
IN20 HSV WB Interp

Interpretation

Method

Western blot

Reference Range

See individual components

Ordering & Collection

Specimen Type

Blood

Collection

Blood: 5 mL blood in GOLD TOP serum separator tube (SST).

Also acceptable: 5 mL blood in ORANGE TOP rapid serum tube (RST) or RED TOP tube

Quantity

requested: 1 mL serum each
minimum: 1 mL serum each

Processing

Blood: Harvest sera from whole blood within 24 hours of collection. Sera may be stored at 2-8°C (ice pack) for up to 7 days. If testing will be delayed more than 7 days from collection freeze at -10°C or colder. Do not freeze/thaw.

Outside Laboratories:

Freeze samples at -10°C or colder. Ship on dry ice, do not freeze/thaw. If freezer and/or dry ice is not available, ship immediately at 2-8°C (ice pack), shipment time must not exceed 7 days from collection. Samples stored at 2-8°C greater than 7 days old will be rejected.

Unacceptable samples: Cadaver specimens or body fluids other than human sera.

Performance

LIS Dept Code

Central Lab Virology (RVIR)

Performing Location(s)

Frequency

Monday and Thursday.

Available STAT?

No

Billing & Coding

CPT codes

86695x2, 86696x2

LOINC

16942-5

Interfaced Order Code

UOW1349