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Test Code LAB1900 Comprehensive Respiratory Pathogen Panel, NAD

Useful For

The rapid detection of common respiratory pathogens

Methodology

Qualitative multiplexed PCR detection assay

Profile Information

The following pathogens can be identified using the FilmArray respiratory panel:

 

 

Virus/Bacteria

Classification

 (genome type)

 

Season of Highest Incidence*

 

Most commonly infected demographic

 

Adenovirus

Adenovirus

 (DNA)

 

late winter to early summer

 

all ages, immunocompromised

 

Coronavirus (CoV) 229E, HKU1, NL63,OC43

Coronavirus

 (RNA)

 

winter, spring

 

children, adults
SARS-CoV-2

Coronavirus

(RNA)

 No peak season all ages

 

Influenza A (subtypes H1, H3, H1 2009)

Orthomyxovirus

(RNA)

 

winter

 

all ages, 5-20% of US population

 

Influenza B

Orthomyxovirus

(RNA)

 

winter

 

all ages, 5-20% of US population

 

Human Metapneumovirus

Paramyxovirus

(RNA)

 

winter, early spring

 

children

 

Parainfluenza Virus 1

Paramyxovirus

(RNA)

 

fall, periodicity of 1-2 yrs

 

infants,  young children, immunocompromised

 

Parainfluenza Virus 2

Paramyxovirus

(RNA)

 

fall, periodicity of 1-2 yrs

I

infants,  young children, immunocompromised

 

Parainfluenza Virus 3

Paramyxovirus

(RNA)

 

spring, summer

 

infants, young children, immunocompromised

 

Parainfluenza Virus 4

Paramyxovirus

(RNA)

 

not determined

 

all ages

 

Respiratory Syncitial Virus (RSV)

Paramyxovirus

(RNA)

 

winter, varies by location

 

infants, children, older adults

 

Human Rhinovirus

Picornavirus

 (RNA)

 

fall, spring

 

all ages

 

Enterovirus

Picornavirus

(RNA)

 

summer, early fall

 

all ages

 

Bordatella Pertussis

Bacterium (DNA)

 

No peak season

 

all ages

 

Chlamydophilia pneumoniae

Bacterium (DNA)

 

No peak season

older children, young adults, immunocompromised

 

Mycoplasma pneumoniae

Bacterium (DNA)

Outbreaks most common in summer, periodicity 4-7 years

 

older children, young adults

 

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

Specimen Type: Nasopharyngeal

Collection Container/Tube: Copan flocked swab

Submission Container/Tube: Viral Transport Media (VTM)

 

 

Specimen Volume: Entire specimen

Collection Instructions:

  1. Tilt patient’s head at a 70° angle
  2. Holding swab between thumb and forefinger of 1 hand and sheath in other hand, give soft wire a 10° to 20°bend.
  3. Press swab tip on mucosal surface of mid-inferior portion of inferior turbinate, and rub swab tip several times across mucosal surface to  loosen and collect cellular material.
  4. Slowly rotate swab as it is being withdrawn.  Repeat procedure for second nostril (same swab).
  5. Return swab to viral transport media tube. Label tube with patient’s name, date and actual time of collection, and type of specimen.  
  6. Place specimen in biohazard bag and seal tightly. 

Specimen Rejection: 

  1. Calcium alginate swabs
  2. Cotton tipped swabs
  3. Wooden shaft swabs
  4. Unlabeled/mislabeled specimens

Specimen Transport Temperature

Ambient <4 hours/Refrigerated <3 days/Frozen >3 days

Specimen Stability

 

Specimen Type Temperature Time
Viral Transport Media Ambient 4 hours
  Refrigerated 3 days
  Frozen 30 days

 

Reference Values

Not detected

 

Critical value (automatic call-back): Bordetella pertussis detected

Day(s) Test Set Up

Monday through Sunday

 

Turn around Time:  2 hours from receipt of specimen in testing lab

Test Classification and CPT Coding

0202U