| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
MYCOPLASMA AND UREAPLASMA DETECTION
Test CodeLAB1026
Quest Code
91477
CPT Codes
87563, 87798 (x3)
Includes
SureSwab®, Mycoplasma hominis, Real-Time PCR
Mycoplasma genitalium, rRNA, TMA
SureSwab, Ureaplasma species, Real-Time PCR
Mycoplasma genitalium, rRNA, TMA
SureSwab, Ureaplasma species, Real-Time PCR
Preferred Specimen
1 vaginal swab collected in a Aptima® Vaginal Swab Collection Kit or Multitest Collection Kit (orange label) or
1 male urethral swab collected in a Aptima Unisex Swab Specimen Collection Kit (white label) or
2 mL male urine collected in a Aptima Urine Transport Tube
1 male urethral swab collected in a Aptima Unisex Swab Specimen Collection Kit (white label) or
2 mL male urine collected in a Aptima Urine Transport Tube
Patient Preparation
Male urine: Patient should not have urinated within one hour prior to collection
Minimum Volume
2 mL urine
Instructions
Vaginal swabs: Follow instructions in the Aptima Vaginal Swab Collection Kit or Multitest Collection Kit (orange label).
Male urethral swabs: Follow instructions in the Aptima Unisex Swab Specimen Collection Kit (white label).
Swab specimen collection kit (orange or white label). Excess mucus should be removed prior to sampling.
Male urine: Direct patient to provide a 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 urine specimen transport within 24 hours of collection and before being assayed. Use the tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine transport tube must fall within the clear pane on the tube label.
Male urethral swabs: Follow instructions in the Aptima Unisex Swab Specimen Collection Kit (white label).
Swab specimen collection kit (orange or white label). Excess mucus should be removed prior to sampling.
Male urine: Direct patient to provide a 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 urine specimen transport within 24 hours of collection and before being assayed. Use the tube provided in the urine specimen collection kit. The fluid (urine plus transport media) level in the urine transport tube must fall within the clear pane on the tube label.
Transport Container
Aptima Vaginal Swab Collection Kit or Multitest Swab Specimen Collection Kit
Aptima Unisex Swab Specimen Collection Kit
Aptima Urine Transport Tube
Aptima Unisex Swab Specimen Collection Kit
Aptima Urine Transport Tube
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 tube with 2 swabs • Transport tubes with non-Aptima swabs • Swab transport tubes with no swab • Swab submitted in non-Aptima transport containers • Urine samples where the fluid level is not between the black fill lines • Urine submitted in non-Aptima transport container • Female urine • Patients less than 15 years of age
Methodology
See individual tests
FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
Reference Range
| Mycoplasma hominis, Real-Time PCR | Not detected |
| Mycoplasma genitalium, rRNA, TMA | Not detected |
| Ureaplasma species, Real-Time PCR | |
| U. parvum DNA | Not detected |
| U. urealyticum DNA | Not detected |
Clinical Significance
Mycoplasma and Ureaplasma spp. have been associated with genital tract infection. M. genitalium has been implicated in cervicitis, endometritis, and PID. M. hominis has also been associated with cervicitis and is present in increased numbers in vaginosis. Ureaplasma spp. have been linked to upper genitourinary tract infection and to premature labor and abortion. Because of their nature, these organisms are not routinely cultured and are better detected by molecular methods.
Recently, by molecular means two groups of Ureaplasma spp. have been distinguished- U. parvum and U. urealyticum, with the former being more prevalent in the lower genital tract of a healthy woman. It is not clear which species more predominantly causes infection. M. hominis and the ureaplasmas appear to be opportunists when they infect the upper genitourinary tract. These organisms have also been targeted as having a possible role in infertility, although this remains a gray area.
Recently, by molecular means two groups of Ureaplasma spp. have been distinguished- U. parvum and U. urealyticum, with the former being more prevalent in the lower genital tract of a healthy woman. It is not clear which species more predominantly causes infection. M. hominis and the ureaplasmas appear to be opportunists when they infect the upper genitourinary tract. These organisms have also been targeted as having a possible role in infertility, although this remains a gray area.
Performing Laboratory
| Quest Diagnostics Nichols Institute-San Juan Capistrano, CA |
| 33608 Ortega Highway |
| San Juan Capistrano, CA 92675-2042 |
Last Updated: August 13, 2021
