Delve Detect mNGS, CSF (Sendout)
General Information
Lab Name
Delve Detect mNGS, CSF (Sendout)
Lab Code
RCMNGS
Epic Name
Order using Lab Undefined [LABUND]
External Test Id
DN01
Description
Useful For: Aiding in the detection of RNA and DNA from viruses, bacteria, parasites and fungi associated with meningitis and encephalitis.
Ordering Requirements: Indications for this test are rare. Microbiology/Virology faculty approval is required. To initiate the approval process, contact the Laboratory Medicine Resident (LMR) via the paging operator at (206) 598-6190.
References
- Delve Bio Test Information: DelveDetect, CSF
Synonyms
deep sequencing, Delve Detect CSF, DN01, Metagenome sequencing, Metagenomic next-generation sequencing, mNGS pathogen detection, P710
Components
| Code | Name |
|---|---|
| RCMNGR | Delve Detect mNGS Result, CSF |
| RCMNGL | Delve Detect mNGS Performing Lab |
Interpretation
Method
Pathogen agnostic, metagenomic next generation sequencing with bioinformatic analysis and interpretive report.
Reference Range
See individual componentsRef. Range Notes
Reference Range:
| DNA Viruses: | Not Detected |
| RNA Viruses: | Not Detected |
| Bacteria: | Not Detected |
| Fungi: | Not Detected |
| Parasites: | Not Detected |
Guidelines
Ordering & Collection
Specimen Type
Collection
1 mL CSF collected in a sterile collection container
- CSF to be transferred under sterile conditions by the Microbiology or Molecular Microbiology lab to a dedicated Delve Bio tube with stabilization buffer.
Approval Required
Microbiology/Virology Faculty approval required.
Handling Instructions
Outside Laboratories: Due to special collection requirements, clients should arrange for testing directly with Delve Bio.
Quantity
requested: 1 mL CSF transferred to a Delve Bio sample tube
minimum: 0.5 mL CSF transferred to a Delve Bio sample tube
Processing
PSPS: Samples must be aliquoted using aseptic technique. Transport the original CSF container and a new Delve Bio kit to Microbiology laboratory for assistance with sample transfer. If samples are unable to be processed immediately, refrigerate the unopened CSF sample.
Microbiology/Molecular Microbiology Lab:
- A Delve Bio kit is required. Kits are available in PSPS Sendouts.
- Using the materials provided in the kit, transfer 1 mL CSF to the Delve Bio sample tube under sterile conditions (refer to full instructions linked below).
- Delve Bio Sample Transfer Kit Instructions
- 1mL of CSF is recommended; if less than 1mL is available for transfer, contact Delve at (844) 221-7423 for further instruction.
- Ensure that the Sunquest label does not cover the expiration date on the Delve tube.
- Once samples have been transferred, return the sample and kit to the Sendouts bench. Once transferred to the Delve Tube, store samples at ambient temperature.
- If unable to transfer samples within 6 hours, unopened CSF may be stored refrigerated for up to 7 days (or up to 90 days at -20°C).
Sendouts:
- Delve Bio Test: Delve Detect CSF (DN01)
- CSF must be transferred to a Delve Bio sample tube or the order will be rejected.
- Contact CAST for assistance with online ordering. Delve Detect orders are considered urgent and should be expedited as much as possible.
- CAST requires the Delve Tube ID (DNT#####) and Manifest ID (DM#####) to place the order. This information is found on the bottom of the barcode label included in the kit.
- Once the order has been placed, CAST will provide an electronic requisition to be be sent with the sample.
- Package sample and TRF in the provided kit. Send only one sample per kit.
- Delve Bio Kit Sample Transfer Kit Instructions.
- Ship samples Monday through Friday using the provided Delve Bio kit.
- Notify CAST of an outgoing order via Teams, phone, or HC1 Task. Results should be expedited.
Stability (once transferred to the Delve Bio Sample tube): Ambient (preferred): 1 month; Refrigerated: 2 months; Frozen (-20°C): 90 days.
Stability (Prior to Transfer to Delve Bio Sample Tube): Refrigerated: 7 days; Frozen (-20°C): 90 days; Ambient: 6 hours. No more than 2 freeze/thaw cycles.
Reject Due To: Gross hemolysis (>200mg/dl), insufficient volume (<0.5mL), sample not in Delve Tube, leaking sample.
Sample Transfer Kits are provided by Delve Bio: Call (844) 221-7423 or email: support@delve.bio.
Performance
LIS Dept Code
Sendouts (SO)
Performing Location(s)
| Sendout |
Delve Bio, Broad Clinical Laboratories, LLC
844-221-7423 27 Blue Sky Drive |
Fax: 833-556-5216 |
|---|
Frequency
Performed: Monday through Saturday. Report Available: 2 business days from sample receipt at Delve Bio.
Available STAT?
No
Billing & Coding
CPT codes
81479
LOINC