| Test Name: |
AEROBIC VAGINITIS PANEL, RT-PCR, ONESWAB (MDL) |
| Test Code: |
2191627 |
| Alias: |
182
LAB9832
ONESWAB
|
| CPT Code(s): |
87653
87798x2
87640
|
| Test Includes: |
127 Group B Streptococcus (GBS) by Real-Time PCR
153 Enterococcus faecalis by Real-Time PCR
141 Escherichia coli by Real-Time PCR
184 Staphylococcus aureus by Real-Time PCR |
| Preferred Specimen: |
OneSwab® OR ThinPrep |
| Container: |
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| Alternate Container: |
UroSwab® |
| Collection Instructions: |
Firmly, yet gently, obtain sample with the OneSwab, rotating it 360o for 10-30 seconds to ensure adequate sampling. When sampling a crusted over lesion, moisten the swab in sterile saline prior to taking the sample. Remove the swab and place into the vial. Snap off the shaft to fit completely in the vial. Be sure the swab fits into the vial prior to capping. Tightly cap the vial. |
| Transport Temperature: |
Room temperature |
| Stability: |
Oneswab: Room Temperature - 15 days
Thin Prep: Room Temperature - 9 days
UroSwab: Room Temperature – 4 days |
| Schedule: |
Turn-around time: Report available in 1-3 days from receipt of specimen at MDL |
| Method: |
Real Time (RT) PCR |
| Performing Lab: |
Medical Diagnostic Laboratories, L.L.C. (MDL); #182 |
| Clinical Significance: |
Aerobic Vaginitis (AV) is caused by aerobic pathogens triggering a localized vaginal inflammatory and immune response as evidenced by the clinical signs and symptoms including the presence of leukocyte infiltration marked by a depletion of healthy Lactobacillus species. Group B Streptococcus (GBS), Staphylococcus aureus, Escherichia coli, and Enterococcus faecalis are often associated with AV. Its characteristics are different from those of Bacterial Vaginosis (BV). It is a common ailment often experienced by women diagnosed with BV who are then treated with traditional metronidazole therapy. Approximately 20% of women treated with metronidazole will fail to respond to therapy and will experience a recurrence of symptoms. It is believed that a subset of these may have been misdiagnosed and actually suffer from AV. AV may be implicated in complications of pregnancy such as ascending chorioamnionitis, premature rupture of the membranes, and preterm delivery. In this assay, DNA is extracted from the specimen and subjected to PCR amplification. |
| Use: |
Updated 02/23/22 |
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The CPT codes included in this publication are in accordance with Current Procedural Terminology, a publication of the American Medical Association. CPT codes are provided here for the convenience of our clients; however, correct coding often varies from one carrier to another, and HealthLab may bill specific carriers using codes other than those shown. Clients who bill for services should verify the code(s) with the applicable payor to confirm that their use is appropriate in each case.
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| Test Type: |
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