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Test Code MEASU Measles Virus, Molecular Detection, PCR, Random, Urine


Ordering Guidance


This polymerase chain reaction (PCR) test should be ordered for individuals with suspected measles infection and symptoms such as rash, cough, fever, and conjunctivitis 6 to 14 days of rash onset.

 

This test is not recommended for patients 0 to 5 days after rash onset. A PCR test on a throat swab is recommended: see MEASR / Measles Virus, Molecular Detection, PCR.

 

If measles virus IgM antibody testing is positive (ROGM / Measles [Rubeola] Virus Antibody, IgM and IgG, Serum) this PCR test should be ordered to confirm the diagnosis of measles infection.



Additional Testing Requirements


This test should be ordered together with MEASR / Measles Virus, Molecular Detection, PCR, Throat, in patients at 6 to 14 days of rash onset to increase the sensitivity of detecting the measles virus.



Shipping Instructions


Specimens must be shipped at refrigerated temperature. Specimens received frozen will be rejected.



Specimen Required


Container/Tube: Sterile tube

Specimen Volume: 1 mL

Collection Instructions:

1. Collect a random urine specimen during the 6-to-14-day period after rash onset in a sterile urine tube.

2. No preservative.


Useful For

Identifying measles infection using random urine specimens

Reporting Name

Measles Virus PCR, Urine

Specimen Type

Urine

Specimen Minimum Volume

0.3 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated 7 days

Reject Due To

Samples that have been heat inactivated
Urine containing preservatives
Reject

Reference Values

Negative

Supportive Data

The following validation data support the use of this assay for clinical testing.

 

Accuracy:

Accuracy studies were performed by testing negative and positive (near the limit of detection) urine and upper respiratory swab samples. Urine yielded 88% positive agreement and 100% negative agreement with expected results. Upper respiratory swabs yielded 100% positive and 100% negative agreement with expected results.

 

Analytical Sensitivity/Limit of Detection:

The lower limit of detection of this assay is 2 genome copies/mcL for urine and 1 copy/mcL for throat swabs.

 

Precision:

Inter-assay and intra-assay precisions were 100%.

 

Specificity:

No sequences were identified that would result in cross-reactivity with the assay by in silico analysis. No cross-reactivity was detected in experiments testing a panel of nucleic acid extracts from greater than50 bacterial, fungal, and viral organisms causing similar disease or commonly found in urine or throat swabs.

 

Reportable Range:

This is a qualitative assay, and the results are reported as either "negative" or "positive" for the measles virus target.

Day(s) Performed

Monday through Friday

Report Available

1 to 3 days

Specimen Retention Time

1 week

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

87798

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MEASU Measles Virus PCR, Urine 86577-4

 

Result ID Test Result Name Result LOINC Value
617822 Measles Virus PCR, Urine 86577-4