Bordetella pertussis/parapertussis PCR

Infectious Disease Laboratories - : Virology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Bordetella pertussis/parapertussis PCR
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

BPPT

Test Workstation :

VIR3

Specimen Type:

One flocked swab in 3.0 mL M4 Viral Transport Medium collected from nasopharyngeal source.

Cause for Rejection:

Improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.

Storage:

Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.

Availability:

Mon-Sun (0700-1600)

Methodology:

DNA detection by Real Time PCR on the Aries analyzer

Lab/Phone:

330-543-4863

TAT:

48 hours

CPT Code:

87798x2

Synonyms:

Bordetella pertussis and Bordetella parapertussis by PCR

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Bordetella pertussis/parapertussis PCR

Infectious Disease Laboratories - : Virology

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