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Rabies Vaccine Response End Point Titer : 5789
Test CodeRABTQ or 5789
Alias/See Also
RFFIT
CPT Codes
86382
Instructions
Please note: Referral lab will not release results unless collection date is provided.
Transport Container
Preferred Specimen
2 mL serum
Minimum Volume
1 mL
2 mL serum
Minimum Volume
1 mL
Transport Temperature
Refrigerated.
Specimen Stability
Room temperature: Unacceptable; Refrigerated: 10 days; Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis, Date drawn not provided
Methodology
Rapid Fluorescent FOCI Inhibition Test (RFFIT)
Setup Schedule
Monday & Wednesday & Friday
Report Available
30 days (From receipt at perfroming Laboratory)
Reference Range
Reportable range 0.1-15.0 IU/mL
Below detection limit <0.1 IU/mL
Clinical Significance
The acronym RFFIT stands for Rapid Fluorescent Focus Inhibition Test. The test measures the ability of antibodies that may be present in a sample to neutralize and block rabies virus from infecting the cells used in the test. These antibodies are called rabies virus neutralizing antibodies (RVNA). In the test, serum (the non-cellular portion of a blood sample) is first diluted fivefold (1 part serum in 4 parts diluent). Further (serial fivefold) dilutions are performed, each of which contain less and less of the sample. The serum dilutions are mixed with a standard amount of live rabies virus and incubated. If RVNA are present in the sample, they will bind to the virus. Tissue culture cells are then added and incubated with the test sample and virus. Whatever rabies virus that may not have been neutralized by the antibody in the sample will then infect the cells. These foci of infection in the cells can then be seen under the fluorescent microscope. If there are a lot of infected cells, there is very little antibody; conversely, if antibodies are high, the cells will have very little evidence of infection. The endpoint titer is calculated from the percent of virus-infected areas observed within the wells containing the various dilutions of the sample on the slide.
Performing Laboratory
Quest Diagnostics/Kansas State Universitiy