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Sexually-Transmitted Infections (STIs) Increased Risk Panel
Test Code36963
CPT Codes
87491, 87591, 87661, 87563
Includes
Chlamydia/Neisseria gonorrhoeae RNA, TMA, Urogenital
Trichomonas vaginalis RNA, Qualitative, TMA
Mycoplasma genitalium, rRNA, TMA
Trichomonas vaginalis RNA, Qualitative, TMA
Mycoplasma genitalium, rRNA, TMA
Preferred Specimen
Female
Vaginal or endocervical swab collected in an Aptima® transport tube or
2 mL urine collected in an Aptima® transport tube
Male
Urethral swab collected in an Aptima® transport tube or
2 mL urine collected in an Aptima® transport tube
Vaginal or endocervical swab collected in an Aptima® transport tube or
2 mL urine collected in an Aptima® transport tube
Male
Urethral swab collected in an Aptima® transport tube or
2 mL urine collected in an Aptima® transport tube
Patient Preparation
Urine: Patient should not have urinated within one hour prior to collection.
Female patients should not cleanse the labial area prior to providing the specimen.
Minimum Volume
2 mL urine
Instructions
Vaginal swab: Follow instructions in the Aptima® Multitest Swab Specimen Collection Kit (orange label) or an Aptima® Vaginal Swab Specimen Collection Kit (orange label)
Endocervical or urethral swabs: Follow instructions in the Aptima® Unisex Swab Specimen Collection Kit (white label). In females, to ensure collection of cells infected with N. gonorrhoeae/C. trachomatis, columnar epithelial cells lining the endocervix should be obtained. Excess mucus should be removed prior to sampling.
Urine: Direct patient to provide first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the Aptima® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.
Endocervical or urethral swabs: Follow instructions in the Aptima® Unisex Swab Specimen Collection Kit (white label). In females, to ensure collection of cells infected with N. gonorrhoeae/C. trachomatis, columnar epithelial cells lining the endocervix should be obtained. Excess mucus should be removed prior to sampling.
Urine: Direct patient to provide first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the Aptima® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days
Refrigerated: 14 days
Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Transport tubes with 2 swabs • Transport tubes with Non-Aptima® swab • Swab transport tubes with no swab • Swab or urine submitted in Non-Aptima® transport tube • Urine samples where the fluid level is not between the black fill lines • Raw urine • ThinPrep® vial
Methodology
Transcription-Mediated Amplification (TMA)
Setup Schedule
Set up: Mon-Sat; Report available: 3-5 days
Reference Range
| Chlamydia trachomatis RNA, TMA, Urogenital | Not detected |
| Neisseria gonorrhoeae RNA, TMA, Urogenital | Not detected |
| Trichomonas vaginalis RNA, QL, TMA | Not detected |
| Mycoplasma genitalium, rRNA, TMA | Not detected |
Clinical Significance
If someone is at an increased risk for STIs, they should be tested for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and Mycoplasma genitalium. A panel will help the clinician identify and treat the appropriate pathogen if present.
