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Test Code LAB2415 Epstein-Barr Virus DNA Detection and Quantification, Plasma

Additional Codes

SQ: EBVQUM

MAYO: EBVQN


Shipping Instructions


1. Ship specimen frozen on dry ice only.

2. If shipment will be delayed for more than 24 hours, freeze plasma at -20 to -80° C (up to 84 days) until shipment on dry ice.



Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube: Lavender top (EDTA)

Submission Container/Tube: Plastic vial

Specimen Volume: 1.5 mL

Collection Instructions:

1. Centrifuge blood collection tube per manufacturer's instructions (eg, centrifuge within 2 hours of collection for BD Vacutainer tubes).

2. Aliquot plasma into plastic vial.


Secondary ID

615297

Useful For

Diagnosis of Epstein-Barr virus (EBV)-associated infectious mononucleosis in individuals with equivocal or discordant EBV serologic marker test results

 

Diagnosis of post-transplant lymphoproliferative disorders (PTLD), especially in EBV-seronegative organ transplant recipients receiving antilymphocyte globulin for induction immunosuppression and OKT-3 treatment for early organ rejection

 

Monitoring progression of EBV-associated PTLD in organ transplant recipients

 

This test should not be used to screen asymptomatic patients.

Method Name

Real-Time Polymerase Chain Reaction (RT-PCR)

Reporting Name

EBV DNA Detect/Quant, P

Specimen Type

Plasma EDTA

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Plasma EDTA Frozen (preferred) 84 days
  Refrigerated  6 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK

Reference Values

Undetected

Method Description

The cobas Epstein-Barr virus (EBV) assay is a US Food and Drug Administration-approved, in vitro nucleic acid amplification test for the quantification of EBV DNA in human EDTA-plasma using the cobas 6800 or 8800 system for fully automated viral nucleic acid extraction (generic silica-based capture technique) and automated amplification and detection of the viral RNA. This dual-target polymerase chain reaction (PCR) assay amplifies 2 highly-conserved target regions within the EBV genome (EBNA-1 and BMRF gene regions) for real-time detection and quantification by 2 target-specific TaqMan probes. A non-EBV armored DNA quantitation standard (DNA-QS) is introduced into each specimen during sample preparation to serve as internal control for nucleic acid extraction and PCR amplification and detection processes. Fluorescent reporter dye-labeled TaqMan probes hybridized to the complementary EBV target sequences and DNA-QS sequence undergo hydrolysis during PCR amplification step to generate fluorescent signal detected in 3 different dye channels. Concentration of the EBV DNA in a patient's plasma sample is determined by a ratio of the intensity of the fluorescent dye from the cleaved EBV target sequence probes to that of the DNA-QS target probe detected throughout the PCR process.(Package insert: cobas EBV-Quantitative nucleic acid test for use on the cobas 6800/8800 Systems. Roche Molecular Systems, Inc; Rev 1.0, 08/2020)

Day(s) Performed

Monday through Saturday

Report Available

1 to 3 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

87799

LOINC Code Information

Test ID Test Order Name Order LOINC Value
EBVQN EBV DNA Detect/Quant, P 43730-1

 

Result ID Test Result Name Result LOINC Value
615297 EBV DNA Detect/Quant, P 43730-1

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Microbiology Test Request (T244)

-General Request (T239)

-Renal Diagnostics Test Request (T830)