EPIC Code

LAB3246
ENTPCR

Performing Lab

UCHealth University of Colorado Hospital Clinical Laboratory - Molecular Diagnostics

Enterovirus PCR testing will be sent to a reference lab until further notice.

Collect

  • CSF, EDTA plasma, serum, or nasopharyngeal swab: ARUP
  • Stool, throat swab, or rectal swab: Quest Diagnostics
Minimum volume: >0.5 mL in a Sterile Container (non-swabbed sources only).

Specimen Preparation

CSF or stool: Transfer 1 mL of CSF or stool to a sterile container (Min: >0.5 mL).
EDTA plasma, serum, or nasopharyngeal swab: ARUP
Throat or rectal swab: Quest Diagnostics

Unacceptable Conditions

  • Sources other than those listed cannot be performed in-house.
  • Specimens submitted in preservative or media.
  • ESwabs.
  • Wooden-shafted, calcium alginate, or cotton swabs.
  • Sample not properly identified, incorrect container, insufficient volume, or past stability.
  • Lab Note: Samples processed in lab using non-sterile technique—including samples previously tested with a “common needle” on an instrument (e.g., Sysmex)—are unacceptable.

Storage/Transport Temperature

Internal: Ambient
Offsite: Refrigerated or frozen

Performed

Daily, upon receipt

Stability (from collection to initiation)

Room Temp: Unacceptable
Refrigerated: 3 days
Frozen: 6 months

Remarks

Specimen source must be identified on order or requisition.

Performed

Daily, upon receipt

Methodology

Qualitative Real-time PCR using Cepheid® GeneXpert®

Reported

Same day

Synonyms

  • ENTPCR
  • EV PCR
  • Ent PCR

Ordering Recommendations

If submitting EDTA plasma, collect in a 6.0 mL Pink (EDTA) and refer to test LAB3245 Enterovirus PCR Plasma.

Order may route to in-house or reference lab testing based upon "Specimen Type" and "Specimen Source" selected during ordering.

EPIC Code

LAB3246
ENTPCR

Reference Interval

Not detected

Interpretive Data

Interpretation: 
Not detected = Negative, no virus detected. 
Detected = Positive, virus detected. 

Methodology: 
This test employs PCR amplification of an Enterovirus-specific conserved genetic target. Some cross-reactivity was noted during validation with suspected Rhinovirus positive samples. A positive result should be coupled with clinical indicators for diagnosis.  A "Not detected" result for this assay does not exclude Enterovirus involvement in a disease process. This test has been approved by the U.S. Food and Drug Administration for CSF sample testing.  Other sample types are not FDA-approved but were validated by the UCH Molecular Diagnostics Laboratory.This test is used for clinical purposes.  It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendment of 1988 ("CLIA") as qualified to perform high complexity clinical testing.

CPT Codes

87498
Collection

EPIC Code

LAB3246
ENTPCR

Performing Lab

UCHealth University of Colorado Hospital Clinical Laboratory - Molecular Diagnostics

Enterovirus PCR testing will be sent to a reference lab until further notice.

Collect

  • CSF, EDTA plasma, serum, or nasopharyngeal swab: ARUP
  • Stool, throat swab, or rectal swab: Quest Diagnostics
Minimum volume: >0.5 mL in a Sterile Container (non-swabbed sources only).

Specimen Preparation

CSF or stool: Transfer 1 mL of CSF or stool to a sterile container (Min: >0.5 mL).
EDTA plasma, serum, or nasopharyngeal swab: ARUP
Throat or rectal swab: Quest Diagnostics

Unacceptable Conditions

  • Sources other than those listed cannot be performed in-house.
  • Specimens submitted in preservative or media.
  • ESwabs.
  • Wooden-shafted, calcium alginate, or cotton swabs.
  • Sample not properly identified, incorrect container, insufficient volume, or past stability.
  • Lab Note: Samples processed in lab using non-sterile technique—including samples previously tested with a “common needle” on an instrument (e.g., Sysmex)—are unacceptable.

Storage/Transport Temperature

Internal: Ambient
Offsite: Refrigerated or frozen

Performed

Daily, upon receipt

Stability (from collection to initiation)

Room Temp: Unacceptable
Refrigerated: 3 days
Frozen: 6 months

Remarks

Specimen source must be identified on order or requisition.
Ordering

Performed

Daily, upon receipt

Methodology

Qualitative Real-time PCR using Cepheid® GeneXpert®

Reported

Same day

Synonyms

  • ENTPCR
  • EV PCR
  • Ent PCR

Ordering Recommendations

If submitting EDTA plasma, collect in a 6.0 mL Pink (EDTA) and refer to test LAB3245 Enterovirus PCR Plasma.

Order may route to in-house or reference lab testing based upon "Specimen Type" and "Specimen Source" selected during ordering.

EPIC Code

LAB3246
ENTPCR

Result Interpretation

Reference Interval

Not detected

Interpretive Data

Interpretation: 
Not detected = Negative, no virus detected. 
Detected = Positive, virus detected. 

Methodology: 
This test employs PCR amplification of an Enterovirus-specific conserved genetic target. Some cross-reactivity was noted during validation with suspected Rhinovirus positive samples. A positive result should be coupled with clinical indicators for diagnosis.  A "Not detected" result for this assay does not exclude Enterovirus involvement in a disease process. This test has been approved by the U.S. Food and Drug Administration for CSF sample testing.  Other sample types are not FDA-approved but were validated by the UCH Molecular Diagnostics Laboratory.This test is used for clinical purposes.  It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendment of 1988 ("CLIA") as qualified to perform high complexity clinical testing.

Administrative

CPT Codes

87498