Antigen Detection            
            COCCIDIOIDES QUANTITATIVE EIA TEST
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                Test Code
315
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                CPT Code
87449
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                Clinical Significance
The MVista® coccidioides quantitative antigen test aids in the diagnosis of coccidioidomycosis. Monitoring the coccidioidomycosis helps determine when treatment can be stopped and to diagnose relapse.
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                Methodology
- Quantitative Sandwich Enzyme Immunoassay (EIA)
 - Serum and CSF are pre-treated to improve accuracy
 
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                Limitations
The result is not intended to be used as the sole means for clinical diagnosis or patient management decisions.
- Cross-reactions are seen with histoplasmosis, blastomycosis and paracoccidioidomycosis.
 - Sputolysin, sodium hydroxide, and potassium hydroxide treatment degrade the analyte detected in the assay.
 
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                Specimen Collection
- Serum: Collect serum specimens in serum separator or red top tube. Allow blood to clot for 30 minutes, then centrifuge. Pipette serum into a plastic screw cap vial.
 - Plasma: Collect plasma specimens in an EDTA, heparin or sodium citrate tube. Centrifuge for 15 minutes and pipette plasma into a plastic screw cap vial.
 - Urine/CSF/BAL/Other Body Fluids: Submit urine, CSF, BAL, and all other body fluids in a sterile screw cap container.
 
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                Minimum Specimen Requirements
- Serum/Plasma: 1.2 mL
 - CSF: 0.8 mL
 - Urine/BAL/Other Body Fluids: 0.5 mL
 
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                Specimen Stability
- Room Temperature: 14 days
 - Refrigerated: 14 days
 - Frozen: Indefinitely
 
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                Specimen Rejection
- If specimen is too viscous to pipette
 - Tissue, Sputum, Bronchial Brushings, Stool, FNA, Biopsy, Tracheal or Bone Marrow Aspirate
 
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                Transport Temperature
Refrigerated/Frozen/Room Temperature
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                Shipping
Ship next day service Monday- Friday delivery
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                Turnaround Time
Testing is performed Monday-Friday
- Urine/BAL: Same day
 - Serum/Plasma/CSF: 1 day
 
*New positives may require confirmation
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                Reference Range
None detected
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                Interpretative Information
- Positive: 0.07-8.2 ng/mL
 - Positive Above the Limit of Quantification: Results greater than 8.2 ng/mL fall outside the linear range of the assay. These results are positive, but not accurately quantifiable.
 
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                Additional Information
MVista® is a registered trademark of MiraVista Diagnostics
 
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