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Test Code RSPCR Comprehensive Respiratory Pathogen Panel, PCR

Important Note

COVID/Influenza/RSV mini PCR panel will be performed on all patients admitted with respiratory symptoms.

If positive, follow our current processes for isolation/cohorting.

If negative, no further testing will be performed for patient placement purposes.

Physicicans may elect to order the larger Respiratory Panel if they feel it is clinically warranted - If ordered, await results prior to placement.

Infectious

Additional Codes

EPIC LAB4612

Purpose

For the qualitative detection of common viral/bacterial respiratory pathogens.

Methodology

GenMark ePlex (PCR)

Sample Type

***The requirement for 2 swabs is no longer necessary, collect 1 swab per order****

 

Acceptable Swab Sources
Nasopharyngeal (NP)
Mid-turbinate Nasal

 

Acceptable Transport Media
UTM-RT M4RT

NOTE: Swabs must be placed in acceptable transport media at the time of collection!

 

Specimen Stability

Temperature Time
Ambient (15-30°C) 12 hours
Refrigerated (2-8°C) (store) 10 days
Frozen (-20 to -80°C) 12 months*

*May be thawed 2 times.

Stability is only applicable to specimens in transport media!

 

PCR Targets

Target Classification Seasonal Prevalence Most Common Demographic
Adenovirus (A-F) Adeonovirus Late Winter to early Summer All ages, immunocompromised
Coronavirus (229E, HKU1, NL63, OC43) Coronavirus Winter, Spring All ages
SARS-CoV-2 Unknown Not established
Human Metapneumovirus Paramyxovirus Winter Childrem, Elderly, Immunocomprominsed
Human Rhinovirus/Enterovirus Picornavirus Fall, Spring, Summer All ages, immunocompromised
Influenza A Orthomyxovirus Winter All ages
Influenza A H1
Influenza A H1-2009
Influenza A H3
Influenza B
Parainfluenza Virus 1 Paramyxovirus Fall All ages
Parainfluenza Virus 2 Fall, early Winter
Parainfluenza Virus 3 Spring, Summer
Parainfluenza Virus 4 Fall, early Winter
RSV A Winter Infants, Children, Older adults
RSV B
Chlamydia pneumoniae Bacterium No peak season All ages, most common in children
Mycoplasma pneumoniae Late Summer, Fall Children, Young adults

Source: ePlex Respiratory Pathogen Panel PI1056 REV. A, pg. 5-6

Result Reporting

Normal
Not Detected

 

Abnormal
Detected

 

Precautions

Target Precautions Message
Adenovirus (A-F) Droplet Precautions
Contact Precautions
Coronavirus (229E, HKU1, NL63, OC43) Airborne Precautions
SARS-CoV-2 Airborne Precautions
Contact Precautions
Human Metapneumovirus Contact Precautions
Droplet Precautions
Human Rhinovirus/Enterovirus Droplet Precuations
Influenza A Droplet Precautions
Influenza A H1 Droplet Precautions
Influenza A H1-2009 Droplet Precautions
Influenza A H3 Droplet Precautions
Influenza B Droplet Precautions
Parainfluenza Virus 1 Droplet Precautions
Parainfluenza Virus 2 Droplet Precautions
Parainfluenza Virus 3 Droplet Precautions
Parainfluenza Virus 4 Droplet Precautions
RSV A Droplet Precautions
Contact Precautions
RSV B Droplet Precautions
Contact Precautions
Chlamydia pneumoniae Droplet Precautions
Mycoplasma pneumoniae Droplet Precautions

Rejection Criteria

  • Samples outside stability limits
  • Samples not properly labeled (2 patient identifiers required)
  • Collection with improper swab or transport media

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Microbiology

CPT Code

87633

87486

87581

 

LOINC

78922-2 Respiratory pathogens DNA and RNA panel NAA+probe (Nph)

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