Useful For:
Rapid testing for West Nile virus (WNV) RNA (lineage 1 and lineage 2) using serum specimens
An adjunctive test to serology for detection of early WNV infection (ie, first few days after symptom onset)
This assay should not be used for screening asymptomatic individuals and should only be used to test patients with signs and symptoms of WNV disease.
Testing Algorithm:
Code | Name |
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RWNVPR | West Nile Virus by PCR |
Real-Time Polymerase Chain Reaction (PCR)
Reference Values: Negative
Interpretation: A positive result indicates the presence of West Nile virus (WNV) RNA and is consistent with early WNV infection.
Cautions:
The sensitivity of the assay is very dependent upon the time of illness onset in which the specimen is collected. Polymerase chain reaction testing has the greatest utility when used within the first few days of symptom onset.
Whole blood rather than serum has been shown to provide increased sensitivity for detecting West Nile virus (WNV) RNA.
A negative test does not exclude infection with WNV. Therefore, the results obtained should be used in conjunction with clinical findings and serologic test results to make an accurate diagnosis.
This assay detects both viable and nonviable virus. Test performance depends on viral load in the specimen and may not correlate with cell culture performed on the same specimen.
Collect 3 mL blood in GOLD TOP SST or RED TOP tube
Outside Laboratories: Centrifuge sample and transfer serum to a separate sterile vial within 6 hours of collection. Refrigerate serum.
Stability: Refrigerated (preferred): 7 days; Frozen: 7 days; Ambient: Unacceptable.
Reject Due To: Gross hemolysis, heat-inactivated specimen.
Centrifuge sample and transfer serum to a separate sterile vial within 6 hours of collection. Refrigerate serum.
Sendouts:
Stability: Refrigerated (preferred): 14 days; Frozen: 30 days; Ambient: Unacceptable.
Reject Due To: Gross hemolysis, heat-inactivated specimen.
Sendout |
Mayo Clinic Laboratories
800-533-1710 200 First Street Southwest |
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