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Test Code LAB2727 N. GONORRHOEAE AMPLIFICATION

Important Note

THIN PREP VIAL Can be used for this assay and shared for a Chlamydia Trachomatis Assay, Trichomonas Vaginalis Assay and a PAP Smear - SPECIMEN MUST GO TO MICRO FIRST

 

N Gonorrhoeae Amplification, Chlamydia Trachomatis Amplification and Trichomonas Vaginalis Amplification can all be ordered on same accession number.

 

When ordering, NEVER enter a Free text specimen source - ALWAYS enter a specimen source code.

Code            Translates to

CER             Cervical

CER-THIN  Cervical Thin Prep

URA             Urethra

URNE          Urine

VAG              Vaginal

VAG-THIN   Vaginal Thin Prep

Additional Codes

CPT Code: 87591

Methodology

This test can only be used to screen genital specimens (cervical, vaginal, urethral, urine and PAP vial). For specimens from other sites, culture is recommended.

Performing Laboratory and Testing Schedule

Peninsula Regional Medical Center - Microbiology

Testing is performed Monday, Wednesday and Friday.

Specimens collected on those days must arrive by 0700 to be tested that day.

Schedule is subject to change based on holidays, instrumentation issues, and reagent availability.

Specimen Requirements

Acceptable Specimens:  Cervical, vaginal, urethral, urine or PAP vial.

 

Cervical

Collect specimen as follows:

1.      Thin Prep/PreservCyt solution vial or Aptima Unisex Swab Specimen Collection Kit that has a white       

         label with purple text.

2.      Please collect specimen with blue small tipped swab.  White swab is for cleaning purposes only.

3.      Instructions for collection of specimen are printed on package.

4.      Label tube with patient’s name (first and last), date of birth, date and time of collection, 

         type of specimen, and collector’s initials.  Note: Specimen source is required.

5.      Testing for Chlamydia Trachomatis (CHLAMP) and Trichomonas (TRICH) can also be

         performed on same specimen.

6.      Unacceptable specimens: specimens collected on white / large swab, specimens other that genital or

         specimens from prepubertal patients.

 

Vaginal 

Collect specimen as follows:

1.      Thin Prep/PreservCyt solution vial or Aptima Vaginal Swab Specimen Collection Kit

          that has a orange label.

2.      Please collect specimen with orange swab.

3.      Instructions for collection of specimen are printed on package.

4.      Label tube with patient’s name (first and last), date of birth, date and time of collection,

         type of specimen and collector’s initials.  Note: Specimen source is required.

5.      Testing for Chlamydia Trachomatis (CHLAMP) and Trichomonas (TRICH) can also be performed on same

         specimen.

6.      Unacceptable specimens:  specimens other than genital or specimens from prepubertal patients.

 

Urethral – for MALES ONLY

Collect specimen as follows:

1.      Urethral specimens must be collected using an Aptima Unisex Swab Specimen Collection Kit that has a

          white label with purple text.

2.      Instructions for collection of specimen are printed on package.

3.      Label tube with patient’s name (first and last), date of birth, date and time of collection,

          type of specimen, and collector’s initials.  Note: Specimen source is required.

4.      Gene Probe for Chlamydia trachomatis (CHLAMP) testing can also be performed on same specimen.

 

Urine

Collect specimen as follows:

1.     Patient should not have voided for 1 hour prior to specimen collection.

2.     The first part of the stream (not midstream) should be collected in a sterile urine cup (20-30 mL).

3.     Label tube with patient’s name (first and last), date of birth, date and time of collection, type of specimen,

        and collector’s initials.

4.     Gene Probe for Chlamydia trachomatis (CHLAMP) can also be performed on same specimen.

5.     Please transport to the lab at 2 to 30° Celsius within 24 hours of collection.

 

Thin Prep Vial

1.      Sample collected same as for PAP smear.

2.      Label tube with patient's name (first and last) and date of birth and time of collection.

3.      Testing for Chlamydia Trachomatis, Trichomonas and HPV can also be performed on the

         same specimen. 

Reference Values

Negative

Critical value (automatic call-back): positive (inpatient)