Meningitis/Encephalitis Film Array

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. Meningitis/Encephalitis Film Array
2.
3.
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5.
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

MEFLM

Test Workstation :

VIR1

Specimen Type:

0.5 mL cerebrospinal fluid (CSF) in sterile container.
Ventricular fluid (0.5 mL) is acceptable but discouraged due to panel and organism coverage.

Minimum Volume:

Specimen minimum volume is 0.2 mL.

Cause for Rejection:

Quantity not sufficient, specimen clotted, improper specimen type, improper storage/transport, mislabeled, or unlabeled.

Storage:

Transport at room temperature. Upon arrival in laboratory, store refrigerated.

Availability:

Mon-Sun

Methodology:

Multiplexed nucleic acid test intended for the simultaneous qualitative detection and differentiation of nucleic acids from multiple viral, bacterial, and fungal organisms in CSF.

Lab/Phone:

330-543-4863

TAT:

Two hours from the time the specimen arrives in the Akron laboratory.

CPT Code:

87483

Panel Includes:

The FilmArray Meningitis/Encephalitis Panel detects DNA or RNA for the following organisms: E. coli, Haemophilus influenzae, Listeria monocytogenes, Neisseria meningitidis, Streptococcus agalactiae, Strep pneumoniae, Cytomegalovirus, Enterovirus, Herpes simplex virus 1, Herpes simplex virus 2, Human herpesvirus 6, Human Parechovirus, Varicella-zoster virus (VZV) and Cryptococcus neoformans/gatti.

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Meningitis/Encephalitis Film Array

Infectious Disease Laboratories - : Virology

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