Test Code INFPCR INFLUENZA PCR
Methodology
Molecular Detection, Real-Time Polymerase Chain Reaction (PCR)
This test is useful for qualitative detection of Influenza A and Influenza B in respiratory specimens.
Clinical Information
Influenza is an acute, contagious respiratory illness caused by influenza A,B and C viruses. Of these, only influenza A and B are thought to cause significant disease, with infections due to influenza B usually being milder than infections with influenza A. Influenza A viruses are further categorized into subtypes based on the 2 major surface protein antigens: Hemagglutinin (H) and neuraminidase (N).
Common symptoms of influenza infection include fever, chills, sore throat, muscle pains, severe headache, weakness, fatigue, and a nonproductive cough. Certain patients, including infants, the elderly, the immunocompromised, and those with impaired lung function are at risk for serious complications.
Specimen Requirements
Preferred Specimen : Nasopharyngeal Swab in Universal Viral Transport Media
Tube/Container: UTM Collection Kit, (Supply order - #0075681)
Not Acceptable: Throat swab, calcium alginate, cotton-tipped swab or swabs with wood shafts.
Specimen Volume: Entire specimen
Collection Instructions:
- Instruct the patient to blow thier nose.
- Collect specimens by rotating the minitip flocked swab gently for 5-10 seconds over mucosa surface to maximize recovery of cells.
- Remove the swab and immediately insert the swab into the transport media tube. Place the swab head at least 1/2 inch below the surface of the media, and swirl the swab in the media. Break the swab shaft and leave the swab in the tube.
- Attach the cap securely.
- Label container with patient’s legal name, date, time of collection, and specimen type.
- Send specimen to the Lab promptly.
Alternate: Nasal Wash in Universal Viral Transport Media (supply order #0075681)
Tube/Container: #6004913 Sterile container or Universal Viral Transport Media (#0075681)
Not Acceptable: Anterior nares swab or excessively bloody specimen.
Specimen Volume: >1 mL of nasal washing material placed in Universal Viral Transport Media as soon as possible.
Collection Instructions:
- Ensure sufficient help to immobilize patient.
- Lavage selected nare with 1 mL to 3 mL of saline.
- Gently aspirate nare using a mucous trap with suction. Collect wash material in trap vial and place in Universal Viral Transport Media.
- Label vial with patient’s legal name, date, time of collection, and specimen type.
- Send specimen to the Lab promptly.
Day(s) Test Set Up
Monday through Sunday
STAT Available 24/7
Maximum Laboratory Time
4 hours
Specimen Stability
Refrigerated: 3 days
Frozen: 30 days at -70° C
Reference Values
Influenza A: Not Detected
Influenza B: Not Detected
Interpretation
A positive test result indicates that the patient is presumptively infected with the indicated virus. The test does not indicate the stage of infection. Rarely, more than 1 virus may be detected from the same patient specimen. Laboratory test results should always be considered in the context of clinical observations and epidermiologic data in making a final diagnosis.
Performing Laboratory
Logan Health Medical Center Laboratory
Test Classification and CPT Coding
87502