Q Fever Antibody Screen, Reflex to Titer (Sendout)

General Information

Lab Name

Q Fever Antibody Screen, Reflex to Titer (Sendout)

Lab Code

RQFVRS

Epic Name

Q Fever Antibody Screen, Reflex to Titer (Sendout)

External Test Id

QFEVR

Description

Useful For: Screening for exposure to Coxiella burnetii, the causative agent of Q fever. This test should not be used as a screening procedure for the general population.

Testing Algorithm: If the Q fever serology result is reactive, then Q Fever IgG and IgM Antibodies (Sendout) [RQFP] by indirect immunofluorescence will be performed at an additional charge.

Synonyms

Coxiella burnetii, Febrile Agglutinins, OS-K (Proteus OX-K - Weil-Felix), OX-19 (Proteus OX-19 - Weil-Felix), OX-2 (Proteus OX-2 - Weil-Felix), Proteus (Weil-Felix), Q-Fever, QFEVER, QFEVR, QFP, Rickettsial Antibody, Typhus, Weil-Felix

Components

Code Name
RQFVRR Q Fever Antibody Screen

Interpretation

Method

Enzyme-Linked Immunosorbent Assay (ELISA)

Reference Range

See individual components

Ref. Range Notes

Interpretation:

Negative: No antibodies to Q fever (Coxiella burnetii) detected. Repeat testing on a new sample collected in 2 to 3 weeks if acute Q fever is suspected.

Reactive: Not diagnostic. Sample reflexed to the indirect immunofluorescence assay to determine Q fever (Coxiella burnetii) phase I and phase II IgM and IgG titers.

Interferences and Limitations

Cautions: Serologic responses are time dependent. Specimens collected too early in the disease may not have detectable antibody levels. A second specimen collected 2 to 3 weeks may be necessary to detect antibody.

Cross-reactivity may occur with other closely related intracellular organisms (eg, Rickettsia spp).

Guidelines

Ordering & Collection

Specimen Type

Blood

Collection

3 mL in GOLD SST or RED TOP tube

Handling Instructions

Outside Laboratories: Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Stability: Refrigerated (preferred): 7 days; Frozen: 7 Days; Ambient: Unacceptable.

Reject Due To: Gross hemolysis, gross lipemia, gross icterus, heat-inactivated specimen.

Quantity

requested: 0.6 mL serum
minimum: 0.5 mL serum

Processing

Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate serum.

Sendouts:

  • Order Mayo Test: QFEVR.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 7 days; Frozen: 7 Days; Ambient: Unacceptable.

Reject Due To: Gross hemolysis, gross lipemia, gross icterus, heat-inactivated specimen.

Performance

LIS Dept Code

Sendouts Mayo Lab (RF) (MARF)

Performing Location(s)

Sendout Mayo Clinic Laboratories (Superior Drive)
800-533-1710

3050 Superior Drive NW
Rochester, MN 55901

Frequency

Performed: Sunday - Friday. Report Available: 1-4 days from sample receipt.

Available STAT?

No

Billing & Coding

CPT codes

86638

LOINC

23019-3

Interfaced Order Code

UOW4834