Viral Culture and Rapid CMV Detection
General Information
- Lab Name
- Rapid CMV and Viral Culture
- Lab Code
- VCSCMV
- Epic Name
- Culture Viral Screen w/Rapid CMV
- Description
NOTE: This test is temporarily unavailable as of 03/25/2020.
Viral Culture
Viral isolation in tissue culture provides a broad, unbiased approach to identify viral pathogens. Inoculated susceptible living cells (tissue culture) are monitored for presumptive identification by the appearance of cytopathic effect (CPE, characteristic changes in the cell monolayer due to propagating virus). Four variables affect the presumptive identification of viral isolates: number of days to produce CPE, cell line(s) affected, appearance of CPE and source of specimen. Presumptive identification is confirmed by virus specific polymerase chain reaction (PCR) assays or the presence of specific viral antigens by fluorescent antibody staining.
Viral pathogens identified by viral culture include Adenovirus, Parainfluenza viruses, Respiratory Syncytial Virus, Influenza Viruses, Enterovirus, Rhinovirus, Herpes Simplex virus, Varicella zoster virus, and Cytomegalovirus (CMV).
Rapid CMV
The detection of viable CMV prior to visible cytopathic effect (CPE) in conventional tube tissue culture. Specimens are inoculated into two 48-well plates containing a monolayer of a receptive cell line. At day 1 and 2 post inoculation, one plate is stained with a monoclonal antibody to CMV, and then reacted with fluorescent-conjugated goat anti-mouse immunoglobulin G. The cells are examined for characteristic nuclear staining which indicates the presence of adenovirus growth. Results are reported as CYTOMEGALOVIRUS DETECTED or Not detected.
These tests were developed and their performance characteristics determined by the University of Washington Department of Laboratory Medicine and Pathology. They have not been cleared or approved by the US Food and Drug Administration.
For Viral Culture Screen only, see Viral Culture Screen [VCS]
For Herpes Group Culture (HSV1&2, CMV and VZV), see Herpes Group Culture (HSV 1&2, CMV, VZ) [VCHG]
For Herpes Group Culture and Rapid CMV, see Herpes Group Culture and CMV Rapid Detection [VCCMVR]
- Synonyms
- CMV Rapid Detection & Viral Culture Screen
- Components
-
Code Name SPDES4 Viral Culture Specimen RDAY1 CMV Rapid Detection Day 1 RDAY2 CMV Rapid Detection Day 2 PRLIM7 Viral Culture Prelim FNL7 Viral Culture Final
Interpretation
- Method
Tissue culture
- Reference Range
- See individual components
Ordering & Collection
- Specimen Type
- Body fluids (CSF, BAL, Washes, Urine, Sputum), Swabs, Tissue, and Stool
- Collection
-
Body fluids (CSF, BAL, Washes, Urine, Sputum): 1 mL of sample in a sterile container
NP/Conjunctiva swabs: use FLEXIBLE, MINITIP FLOCKED SWAB in 3 ml universal transport media (UTM)
UWMC - PMM 304528, HMC - 51264, Community - Copan 305C or DHI 403COther Swabbed sites: use REGULAR FLOCKED SWAB in 3 ml universal transport media UTM
Tissue: in sterile saline or universal transport media (UTM)
Stool: pea size sample collected in a sterile container
- Quantity
-
Requested: See Collection
Minimum: 1 mL
Processing
- Receiving Instructions
Body fluids (CSF, BAL, Washes, Urine, Sputum): Sample may be stored at 2-8°C (ice pack) for up to 48 hours from collection. Freeze at -70°C or colder. Do not freeze/thaw.
NP/Conjunctiva swabs: Sample may be stored at 2-8°C (ice pack) for up to 48 hours from collection. Freeze at -70°C or colder. Do not freeze/thaw.
Other Swabbed sites: Sample may be stored at 2-8°C (ice pack) for up to 48 hours from collection. Freeze at -70°C or colder. Do not freeze/thaw.
Tissue: Sample may be stored at 2-8°C (ice pack) for up to 48 hours from collection. Freeze at -70°C or colder. Do not freeze/thaw.
Stool: Sample may be stored at 2-8°C (ice pack) for up to 48 hours from collection. Freeze at -70°C or colder. Do not freeze/thaw.
Outside Laboratories:
Ship samples on dry ice, do not freeze/thaw. If freezer and/or dry ice is not available, ship immediately at 2-8°C (ice pack), shipment time must not exceed 48 hours from collection. Samples stored at 2-8°C greater than 48 hours old may be rejected.
Unacceptable samples: Blood (serum/plasma), dry swabs.
Note: Freezing specimens at -20°C is NOT acceptable for viral culture.
- Misc Sendout
Performance
- Lab Department
- Virology - OLD(VIRO)
- Frequency
- Daily
- Available STAT?
- No
- Performing Location(s)
-
Other Virology
206-685-8037Virology Laboratory, Ste 320
1616 Eastlake Ave E.
Seattle, WA 98102
Billing & Coding
- LOINC
- 18725-2
- Interfaced Order Code
- UOW847