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Test Code LAB12313761 Chlamydia/Neisseria gonorrhoeae (GC) DNA Probe,Urine

Important Note

If the patient is under 14 years of age please see Additional Information below.

Useful For

Testing at RRMC is for 14 years and OLDER. 13 years and under are collected in GenProbe Aptima II media and sent to Lab Corp; Order LAB1234555 and check with Central Processing to obtain special collection media.

 

Use:  Qualitative detection of plasmid DNA for C. trachomatis/GC in urogenital (female) samples or urine (male or female) samples. 
PCR method should not be used as a “test for cure.”

 

Urine

Given that collection of larger volumes of urine may reduce test sensitivity, urine collected in volumes greater than 50 mls may cause false negative results.

 

Note: Grossly bloody samples are unacceptable and may yield false positive results.  Grossly mucoid samples are unacceptable and may yield false negative results.  Avoid sample contamination, the presence of spermicide, lubricants or feminine hygiene powders.

Performing Laboratory

Asante Rogue Regional Medical Center (ARRMC)

 

Performing Department

Microbiology

Specimen Required

Male or female non-clean catch ( “dirty”)  urine specimens collected in a clean, polypropylene container without preservatives or transported in Cobas  PCR media (instructions follow)

 

For males, only urine is acceptable. Not an approved method for male urogenital samples.

 

Acceptable:   Sterile Urine Cup  Sterile collection cup

 

Chlamydia/GC URINE sample- Male/Female:    GC-Chlamydia Urine (male or female) collection

 

Dirty catch urine, preferred collection after 1 hour of not-voiding, volume between 15-50 mls, (dirty catch, first part of the stream, not mid-stream) into a clean, polypropylene container without preservatives. (You may want to mark the outside of the cup to show the desired volume.)  Too much urine volume causes a dilution effect and can yield negative results. Caution the patient not to begin urinating until the collection cup is in position. 

 

Urine can be submitted directly to Asante RRMC lab. Aliquot urine into Cobas PCR® media to only fill between the lines (do not overfill) within 24 hours of collection. Office may submit urine already aliquoted  in Cobas PCR® media. DO NOT OVERFILL the Cobas PCR® media vial; fill ONLY in between the lines. NOTE: Given that collection of larger volumes of urine may reduce test sensitivity, emphasis should be placed on the FIRST voided part of the stream.

Date and label the tube with appropriate patient identification information. 


Also include specimen source information on transport tube and on test requisition. 

Specimen Minimum Volume

10 mL non-clean catch urine

Specimen Stability Information

Transport to the laboratory as soon as possible. 

Specimens collected  and transported with the Cobas® PCR Sample Kit may be stored at 2°- 30°C (refrigerated or room temperature) for up to 12 months  once the specimens have been stabilized in Cobas® PCR® Media. 

 

If a specimen cannot be stabilized immediately than refrigerate the urine and transport it to the laboratory as soon as possible. Stability of urine, not stabilized in Cobas PCR® media is 2°- 30°C for up to 24 hours.

Reject Due To

Clean-catch urine; this methodology has not been evaluated for this specimen type

Day(s) Performed

Monday - Friday

 

All positive samples results are phoned to the physician. 

Positive results also require Public Health reporting and follow-up.

Method Name

Real-time PCR (Polymerase Chain Reaction)

CPT Code Information

  • 87491:  Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique
  • 87591  Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique

Billing Code

  • 3060024
  • 3060087