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Meningitis/Encephalitis Panel PCR

Important Note

This is a careset and includes: Meningitis/Encephalitis Panel (“ME Panel”), bacterial culture and cryptococcal antigen test.

eD-H Order Code

LAB4131

Specimen Collection Information

Specimen Minimum Test Volume Container Special Handling
CSF 1.0 ML  

Cerebrospinal fluid (CSF) obtained via lumbar puncture.

Shunt specimens are not acceptable.

 

Specimen Transport Temperature

Ambient, room temperature (approximately 15-25°C), for up to one day.

Refrigerated (approximately 2-8°C) for up to seven days.

 

Specimen Stability

24 hours, ambient

7 days, refrigerated

 

Assay Information

Important limitations:

-This test should be interpreted in conjunction with other laboratory data and the patient’s clinical presentation.

-If there is a strong clinical suspicion for HSV encephalitis, a single negative test does not rule this entity out.

-The ME Panel is not as sensitive as the cryptococcal antigen test for the diagnosis of cryptococcal meningitis.

-HHV-6 is chromosomally integrated into the DNA of 1-2% of the human population. Detection does not equal disease.

-This assay does NOT test for neurotropic arbovirus infection. Arboviruses potentially found in the northeastern USA include West Nile virus, Eastern Equine Encephalitis virus, Powassan virus, and Jamestown Canyon virus. If these pathogens are suspected clinically, please contact Infectious Disease for guidance around optimal test ordering.

 

Assay Result Type
Meningitis Panel Source Alpha
Meningitis Panel PCR Alpha
Escherichia coli K1 Alpha
Haemophilus influenzae Alpha
Listeria monocytogenes Alpha
Neisseria meningitidis Alpha
Streptococcus agalactiae Alpha
Streptococcus pneumoniae Alpha
Cytomegalovirus (CMV) Alpha
Enterovirus Alpha
Herpes simplex virus 1 (HSV-1) Alpha
Herpes simplex virus 2 (HSV-2) Alpha
Human herpes virus 6 (HHV-6) Alpha
Human parechovirus Alpha
Varicella zoster virus (VZV) Alpha
Cryptococcus neoformans/gattii Alpha

Interpretive Data

Assay Display Interpretive Data
Meningitis Panel PCR Meningitis Panels are performed on the FilmArray using multiplexed PCR nucleic acid detection. Negative results do not preclude infection and should not be used as the sole basis for diagnosis treatment or other management decisions.

 

An Emperic Therapy Guide for adult patients is available to aid in selecting optimal therapy for pathogens detected by this assay.

 

Reference Ranges / Critical Values

Assay Gender Age Range Normal Range Critical Values Units
Cryptococcus neoformans/gattii All 0 Minutes – 150 Years Not Detected    
Cytomegalovirus (CMV) All 0 Minutes – 150 Years Not Detected    
Enterovirus All 0 Minutes – 150 Years Not Detected    
Escherichia coli K1 All 0 Minutes – 150 Years Not Detected    
Haemophilus influenzae All 0 Minutes – 150 Years Not Detected    
Herpes simplex virus 1 (HSV-1) All 0 Minutes – 150 Years Not Detected    
Herpes simplex virus 2 (HSV-2) All 0 Minutes – 150 Years Not Detected    
Human herpes virus 6 (HHV-6) All 0 Minutes – 150 Years Not Detected    
Human parechovirus All 0 Minutes – 150 Years Not Detected    
Listeria monocytogenes All 0 Minutes – 150 Years Not Detected    
Meningitis Panel PCR All 0 Minutes – 150 Years Negative    
Neisseria meningitidis All 0 Minutes – 150 Years Not Detected    
Streptococcus agalactiae All 0 Minutes – 150 Years Not Detected    
Streptococcus pneumoniae All 0 Minutes – 150 Years Not Detected    
Varicella zoster virus (VZV) All 0 Minutes – 150 Years Not Detected    

Day(s) Performed

Monday through Sunday; continuously

CPT(s)

87798 ; 87496 ; 87498 ; 87798 ; 87798 ; 87529 ; 87529 ; 87532 ; 87798 ; 87798 ; 87798 ; 87798 ; 87798 ; 87798

Performing Lab Section

Microbiology