Encephalitis Meningitis PCR, CSF (Sendout)

General Information

Lab Name

Encephalitis Meningitis PCR, CSF (Sendout)

Lab Code

RCEMPC

Epic Name

Encephalitis Meningitis PCR, CSF (Sendout)

External Test Id

LAB2421

Description

Description: May detect the following agents:

  • Cytomegalovirus
  • Enterovirus
  • Herpes Simplex Virus 1 and 2
  • Human Herpes Virus 6
  • Human parechovirus
  • Varicella zoster virus
  • Cryptococcus gattii*/neoformans
  • Escherichia coli K1
  • Haemophilus influenzae*
  • Listeria monoctyogenes*
  • Neisseria meningitidis
  • Streptococcus agalactiae (group B Streptococcus)
  • Streptococcus pneumoniae

*WA State DOH Notifiable Conditions

Ordering Note: Approval by the Laboratory Medicine Resident (LMR) on-call is required for all orders. Molecular testing does not replace bacterial or fungal cultures. The Biofire Meningitis/Encephalitis has demonstrated false positive and false negative results. See the following preferred tests for specific agents: HSV, VZV, Cryptococcus, bacteria. Other specific tests are available for: CMV, HHV6, Enterovirus/Parechovirus, fungal culture, bacterial PCR, Cryptococcus PCR, pneumococcal urine antigen.

Synonyms

Cryptococcus gattii/neoformans, CSF meningitis/encephalitis PCR Qual Panel, Cytomegalovirus, Encephalitis, Enterovirus, Escherichia coli K1, group B Streptococcus, Haemophilus influenzae, Herpes Simplex Virus 1 and 2, Human Herpes Virus 6, Human parechovirus, LAB2421, Listeria monoctyogenes, Meningitis, Neisseria meningitidis, pneumococcus, Streptococcus agalactiae, Streptococcus pneumoniae, Varicella zoster virus

Components

Code Name
RCCMVP Cytomegalovirus CMV PCR Qual, CSF
RCEVPC Enterovirus PCR Qual, CSF
RCHSV1 Herpes simplex Virus 1 PCR Qual, CSF
RCHSV2 Herpes simplex Virus 2 PCR Qual, CSF
RCHHV6 Human Herpes Virus 6 PCR Qual, CSF
RCHPVP Human parechovirus PCR Qual, CSF
RCVZVP Varicella zoster Virus PCR Qual, CSF
RCECKP Escherichia coli K1 PCR Qual, CSF
RCHINP Haemophilus influenzae PCR Qual, CSF
RCLMNP Listeria monocytogenes PCR Qual, CSF
RCNMEP Neisseria meningitidis PCR Qual, CSF
RCSTAP Streptococcus agalactiae PCR Qual, CSF
RCSPNP Streptococcus pneumoniae PCR Qual, CSF
RCCNGP Cryptococcus neoformans/gattii PCR Qual, CSF
OLDIS2 Outside Laboratory Disclaimer

Interpretation

Method

Molecular method by BioFire FilmArray (Film Array)

Reference Range

See individual components

Ref. Range Notes

Reference Range: Negative

Positive or negative is reported for each infectious agent.

Guidelines

Ordering & Collection

Specimen Type

CSF

Collection

1 mL CSF collected in a sterile container

  • Note: Clotted CSF is not acceptable for this test and will be rejected.
  • Testing will only be performed on CSF from lumbar puncture. CSF shunt fluid is not an appropriate sample for this test.

Approval Required

Laboratory Medicine Resident (LMR) approval is required.

Handling Instructions

Outside Laboratories: Freeze CSF in a sterile container at -20°C.

Stability: Frozen: 4 months; Refrigerated: 7 days; Ambient: 24 hours.

Reject Due To: Clotted CSF is not acceptable for this test and will be rejected.

Quantity

requested: 1 mL CSF
minimum: 0.5 mL CSF

Processing

Freeze CSF in a sterile container at -20°C. Notify the appropriate bench of an incoming sample or add-on order. This test should be prioritized for immediate sendout.

  • UWMC: Freeze sample in Sendouts rack and notify UW-MT Sendouts.
  • HMC: Freeze sample in the Micro rack and notify HMC Microbiology.

Sendouts (UWMT)/Microbiology (HMC):

  • Order SCHL Test: LAB2421.
  • Interfaced: Yes. [Interface: 601; Department: SOSC]
  • Send samples as received to Seattle Children's Hospital Lab via Delivery Express courier with a copy of the MayoAccess Interface Packing List.

Stability: Frozen: 4 months; Refrigerated: 7 days; Ambient: 24 hours.

Reject Due To: Clotted CSF is not acceptable for this test and will be rejected.

Performance

LIS Dept Code

SCHL Interfaced Sendouts (SOSC)

Performing Location(s)

Sendout Seattle Children's Hospital Department of Laboratories
206-987-2617

4800 Sand Point Way NE
OC.8.720
Seattle, WA 98105

Frequency

Performed: 24/7. Turn around time: 2 hours.

Available STAT?

No

Billing & Coding

CPT codes

87483

LOINC

82180-1