Meningitis/Encephalitis Film Array
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Meningitis/Encephalitis Film Array | |
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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.
