Test 3702 - Cytomegalovirus (CMV) DNA by Real-Time PCR - Quantitation
Method Real-Time Polymerase Chain Reaction (PCR) – Viral Load Monitoring
Specimen Requirements 5.0 ml (1.0 ml) Amniotic fluid: discard first 2 ml, then collect 3-5 ml in a sterile plastic conical tube or one T-25 flask of confluent cells; 2.0 ml (1.0ml) CSF: Refrigerated or Frozen; 5.0 ml (3.0 ml) EDTA or ACD Whole Blood: Ambient; 10.0 ml (5.0ml) Urine:Refrigerated; 2.0 (1.0 ml) Serum:Refrigerated or Frozen; 5.0 ml (1.0 ml) PPT Plasma: Refrigerated or Frozen; 5.0 ml (1.0ml) EDTA blood plasma: Refrigerated or Frozen.
Collection & Transport Amniotic fluid: transport at ambient temperature up to 24 hrs or refrigerate (2-8∞ deg. C) up to 7 days; CSF, Urine, PPT Plasma, Serum: ship refrigerated or frozen; Whole Blood EDTA or ACD: ship ambient; EDTA blood plasma: separate plasma from red cells within 6 hours and store at 2-8∞C if shipping within 24 hours or store at 20 deg. C if shipping > 24 hours.
Causes for Rejection Whole blood: in heparin; EDTA blood plasma not separated within 6 hours;
All: insufficient volume or shipped at incorrect temperature.
Specimen Stability Refrigerated and ambient specimens stable for four days; frozen specimens stable indefinitely.
Reference Range Less than 100 CMV DNA copies/ml
Assay Results Range: 100 to 1 x 10e10 CMV DNA copies/ml.
TAT 24-72 hours
CPT Code 87497, Quantification probe technique

Cytomegalovirus is a commonly found virus that threatens immunocompromised patients including neonates, transplant recipients, oncology patients or patients with AIDS. CMV is the leading viral opportunistic infection in persons with AIDS and the most common cause of congenital infection in the developed world . Commonly seen manifestations of a CMV infection include: Encephalitis, retinitis, colitis, hepatitis, adrenalitis, polyradiculopathy and esophagitis. The amplification of human CMV DNA by PCR offers very sensitive and specific isolation and detection of the virus from a variety of clinical specimen types .

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