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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Chlamydia trachomatis / GC PCR Panel

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. Chlamydia trachomatis / GC PCR Panel  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
CT/NG
Test Workstation :
VIR1
Specimen Type:

5 mL first-catch urine collected in sterile container.
GeneXpert swab collected from vaginal/endocervical source in GeneXpert swab transport reagent tube.

Minimum Volume:
Urine minimum volume is 1.0 mL.
Cause for Rejection:
Quantity not sufficient, improper specimen type, improper storage/transport, mislabeled, or unlabeled. Eswabs are not acceptable.
Storage:
Transport at room temperature. Upon arrival in laboratory, store refrigerated.
Availability:
Mon-Sun (0700-1600)
Methodology:
DNA PCR technique specific for Chlamydia trachomatis and Neisseria gonorrhoeae
Special Instructions:
Test is FDAapproved for genital and urine specimens only. This method is not acceptable for forensic cases (e.g. rape or child abuse). Grossly blood specimens may affect result. Obtain cervical/vaginal collection kits from CCL or Viro. Urine must be firstvoid, not midstream; >50.0 mL will decrease sensitivity of the test.
Lab/Phone:
330-543-4863
TAT:
48 hours
CPT Code:
87491, 87591
Panel Includes:
Chlamydia trachomatis PCR, Neisseria gonorrhoeae PCR
Synonyms:
CT PCR; GC PCR; Xpert CT/NG assay

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