Chlamydia/Gonococcus/Trichomonas vaginalis/Mycoplasma genitalium (With Reflex to Macrolide Resistance), NAA, Urine

CPT: 87491; 87563; 87591; 87661

Special Instructions

If reflex test is performed, additional charges/CPT code(s) may apply.


Expected Turnaround Time

3 - 4 days


Related Documents


Specimen Requirements


Specimen

First-void urine in Aptima® urine transport


Volume

2 mL aliquot of a 20-to-30 mL urine collection


Minimum Volume

2 mL aliquot of a 20-to-30 mL urine collection


Container

Aptima® Urine


Collection

The patient should not have urinated for at least one hour prior to specimen collection. Direct patient to provide a first-catch urine (approximately 20 mL to 30 mL of the initial urine stream) into a urine collection container free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity; lesser volumes may not adequately rinse organisms into the specimen. Female patients should not cleanse the labial area prior to providing the specimen. Add urine to the Aptima® urine collection device. The final volume must be between the two black lines on the device (about 2 mL).


Storage Instructions

Maintain specimen at room temperature or refrigerate (2°C to 30°C).


Stability Requirements

Temperature

Period

Room temperature

30 days (stability provided by manufacturer or literature reference)

Refrigerated

30 days (stability provided by manufacturer or literature reference)


Patient Preparation

The patient should not have urinated for at least one hour prior to specimen collection.


Causes for Rejection

Specimen with incorrect patient identification; unlabeled specimen; inappropriate specimen transport conditions; specimens received after prolonged delay (usually >72 hours); specimen leaked in transit; specimen in expired transport or incorrect transport device; specimens with inappropriate source for test requested; specimen with fixative or additives; Aptima® urine transport >30 days from collection; Aptima® urine transport with incorrect specimen volume; specimen in ProbeTec™ UPT transport; ProbeTec™ Q-swabs; urine in sterile container


Test Details


Use

This test is used to detect the presence of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and Mycoplasma genitalium rRNA in urine specimens. If M. genitalium is detected, additional testing for macrolide resistance determination will be performed.


Limitations

A negative result does not preclude a possible infection. Test results may be affected by improper specimen collection or target levels below the assay limit of detection (LoD). Results from this testing should be interpreted in conjunction with other clinical and laboratory data available to the clinician. Reliable results are dependent on adequate specimen collection, transport, storage and processing. Failure to observe proper procedures in any one of these steps can lead to incorrect results.

The macrolide resistance reflex test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary.


Methodology

Nucleic Acid Amplification (NAA)


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