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Test Code LAB1231888 Measles (Rubeola) Virus Antibody, IgM and IgG, Serum

Important Note

Mayo code is ROGM

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Reporting Name

Measles (Rubeola) Ab, IgM and IgG,S

Specimen Type

Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Heat-inactivated specimen Reject

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 14 days
  Frozen  14 days

Specimen Minimum Volume

0.6 mL

Day(s) Performed

Monday through Friday

Specimen Retention Time

14 days

Report Available

Same day/1 to 3 days

Reference Values

IMMUNOGLOBULIN M

Negative

Reference values apply to all ages.

 

IMMUNOGLOBULIN G

Vaccinated: Positive (≥1.1 AI)

Unvaccinated: Negative (≤0.8 AI)

Reference values apply to all ages.

Useful For

Diagnosing measles virus infection

 

Determination of immune status of individuals to the measles virus using IgG antibody testing

 

Documentation of previous infection with measles virus in an individual without a previous record of immunization to measles virus

CPT Code Information

86765 x2

LOINC Code Information

Test ID Test Order Name Order LOINC Value
ROGM Measles (Rubeola) Ab, IgM and IgG,S 90253-6

 

Result ID Test Result Name Result LOINC Value
80979 Measles (Rubeola) Ab, IgM, S 35276-5
ROG Measles (Rubeola) Ab, IgG, S 35275-7
DEXG3 Measles IgG Antibody Index 5244-9

Method Description

Immunoglobulin M:

The presence of IgM-class antibody to measles is determined by an indirect immunofluorescence assay. After removal of IgG by specific immunoglobulin antibody, the serum is incubated with measles antigen, which is adhered to a glass microscope slide. Antibodies, if present, will bind to the antigen forming stable antigen-antibody complexes. If no antibodies are present, the complexes will not be formed, and the serum components will be washed away. Fluorescein-labeled antihuman-IgM antibody is added to the reaction side and binds to IgM antibodies if present. This results in a positive reaction of bright apple-green fluorescence when viewed with a fluorescence microscope.(Package insert: Measles Virus Antigen Substrate Slide. AESKU.BION; 11/2024)

 

Immunoglobin G:

The BioPlex 2200 Measles IgG assay uses multiplex flow immunoassay technology. Briefly, serum samples are mixed and incubated at 37° C with sample diluent and dyed beads coated with measles antigen. After a wash cycle, antihuman-IgG antibody conjugated to phycoerythrin (PE) is added to the mixture and incubated at 37° C. Excess conjugate is removed in another wash cycle and the beads are resuspended in wash buffer. The bead mixture then passes through a detector that identifies the bead based on dye fluorescence and determines the amount of antibody captured by the antigen based on the fluorescence of the attached PE. Raw data is calculated in relative fluorescence intensity.

 

Three additional dyed beads, an internal standard bead, a serum verification bead, and a reagent blank bead, are present in each reaction mixture to verify detector response, the addition of serum to the reaction vessel and the absence of significant nonspecific binding in serum.(Package insert: BioPlex 2200 System MMRV IgG. Bio-Rad Laboratories; 02/2019)

Profile Information

Test ID Reporting Name Available Separately Always Performed
ROM Measles (Rubeola) Ab, IgM, S Yes Yes
ROPG Measles (Rubeola) Ab, IgG, S Yes Yes

Supportive Data

Immunoglobulin G:

To evaluate the accuracy of the BioPlex Measles IgG multiplex flow immunoassay (MFI), 500 prospective serum samples were analyzed in a blinded fashion by the Diamedix Measles IgG enzyme immunoassay (EIA) and the BioPlex Measles IgG assay. Samples with discordant results after initial testing were repeated by both assays during the same freeze/thaw cycle. Further discrepancies were evaluated by the SeraQuest Measles IgG EIA. The results are summarized in the table below:

 

Table.

BioPlex measles IgG

Diamedix measles IgG EIA

 

Positive

Negative

Equivocal

Positive

420

1(a)

0

Negative

10(b)

27

17

Equivocal

14

0

11

(a) This sample tested negative by the SeraQuest Measles IgG EIA

(b) All 10 samples tested positive by the SeraQuest Measles IgG EIA

Sensitivity: 94.6% (420/444); 95% CI: 92.1%-96.4%

Specificity: 96.4% (27/28); 95% CI: 80.8%-100.0%

Overall Percent Agreement: 91.6% (458/500); 95% CI: 88.8%-93.8%

Forms

If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.