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Monkey Pox
MessageSpecimen Collection:
- Wear appropriate PPE – gown, gloves, N95, and eye protection.
- Choose at least two lesions (from different body sites if disseminated or localized lesions that differ in appearance).
- Using a synthetic swab, vigorously swab the lesion. It is not necessary to de-roof the lesion before swabbing, but that may improve test results.
- Break off the swab into VTM and screw on the cap.
- Label the tube with the patient information AND body site and (example: right hand) and place in its own biohazard bag.
- Specimens must get to the lab ASAP so they can be refrigerated/frozen within an hour of collection. These will be handled through the SEND OUT DEPARTMENT at CRMC.
- All trash must go in a biohazard bin.
Test Code
MPOXP
Quest Code
12084
CPT Codes
87593 (x2)
Includes
Orthopoxvirus and Mpox Virus
Preferred Specimen
Lesion swab collected in 3 mL viral culture media (VCM) or equivalent
Minimum Volume
0.5 mL
Instructions
Swab a pustule/lesion vigorously and place the swab into a viral culture media (or equivalent) tube.
No additional confirmatory testing is required at the CDC, therefore a duplicate swab from the same lesion is not needed. If clinically indicated, consider submitting additional swabs if multiple lesions with different stages are present. Multiple specimens collected on a single patient should be submitted separately and be accompanied by its own separate requisition and transported in its own sealed bag.
No additional confirmatory testing is required at the CDC, therefore a duplicate swab from the same lesion is not needed. If clinically indicated, consider submitting additional swabs if multiple lesions with different stages are present. Multiple specimens collected on a single patient should be submitted separately and be accompanied by its own separate requisition and transported in its own sealed bag.
Transport Container
VCM, VTM, UTM or equivalent
Transport Temperature
Frozen
Specimen Stability
Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days
Refrigerated: 7 days
Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Calcium Alginate swabs • Cotton swabs • Wooden shaft swabs • Dry swabs (e.g., not submitted in VCM or equivalent)
Methodology
Real-Time Polymerase Chain Reaction
FDA Status
This test has been authorized by the FDA under an Emergency Use Authorization (EUA) for use by authorized laboratories.
Setup Schedule
Daily
Report Available
2-3 days
Reference Range
| Orthopoxvirus DNA, QL PCR | Not detected |
| Mpox Virus DNA, QL PCR | Not detected |
Clinical Significance
The Mpox Virus DNA, Qualitative Real-time PCR test is intended for the qualitative detection of non-variola Orthopoxviruses and Mpox virus (clade II) DNA using swabs from human pustular or vesicular rash specimens.
Performing Laboratory
| Quest Diagnostics Nichols Institute-San Juan Capistrano, CA |
| 33608 Ortega Highway |
| San Juan Capistrano, CA 92675-2042 |
Additional Information
Monkey Pox-did you know
