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Order Code ARBOP Arbovirus Antibody Panel, IgG and IgM, Serum

Useful For

Aiding the diagnosis of arboviral encephalitis (California [LaCrosse], St. Louis, Eastern equine, and Western equine encephalitis)

Profile Information

Test ID Reporting Name Available Separately Always Performed
CAVP Calif Virus (LaCrosse)IgG and IgM,S Yes Yes
EEEP East Equine Enceph Ab, IgG and IgM, S Yes Yes
STLP St. Louis Enceph Ab, IgG and IgM, S Yes Yes
WEEP West Equine Enceph Ab,IgG and IgM,S Yes Yes

Method Name

Immunofluorescence Assay (IFA)

Reporting Name

Arbovirus Ab Panel IgG and IgM, S

Specimen Type

Serum


Ordering Guidance


This panel tests for 4 arboviruses; to test for a specific arbovirus, the following tests are individually orderable:

-CAVP / California Virus (La Crosse) IgG and IgM, Serum

-EEEP / Eastern Equine Encephalitis Antibody, IgG and IgM, Serum

-STLP / St. Louis Encephalitis Antibody, IgG and IgM, Serum

-WEEP / Western Equine Encephalitis Antibody, IgG and IgM, Serum



Specimen Required


Supplies: Sarstedt Aliquot Tube 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.5 mL

Collection Instructions: Centrifuge and aliquot serum into plastic vial.


Specimen Minimum Volume

0.15 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 14 days
  Frozen  14 days

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject

Reference Values

CALIFORNIA VIRUS (La CROSSE) ENCEPHALITIS ANTIBODY

IgG: <1:10

IgM: <1:10 

Reference values apply to all ages.

 

EASTERN EQUINE ENCEPHALITIS ANTIBODY

IgG: <1:10

IgM: <1:10 

Reference values apply to all ages.

 

ST. LOUIS ENCEPHALITIS ANTIBODY

IgG: <1:10

IgM: <1:10 

Reference values apply to all ages.

 

WESTERN EQUINE ENCEPHALITIS

IgG: <1:10

IgM: <1:10 

Reference values apply to all ages.

Method Description

The indirect immunofluorescent antibody (IFA) assay is a 2-stage "sandwich" procedure. In the first stage, the patient serum is diluted in Pretreatment Diluent for IgM and phosphate buffered saline (PBS) for IgG, added to appropriate slide wells in contact with the substrate, and incubated. Following incubation, the slide is washed in PBS, which removes unbound serum antibodies. In the second stage, each antigen well is overlaid with fluorescein-labeled antibody to IgM and IgG. The slide is incubated allowing antigen-antibody complexes to react with the fluorescein-labeled anti-IgM and anti-IgG. After the slide is washed, dried, and mounted, it is examined using fluorescence microscopy. Positive reactions appear as cells exhibiting bright apple-green cytoplasmic fluorescence against a background of red negative control cells. Semi-quantitative endpoint titers are obtained by testing serial dilutions of positive specimens.(Package inserts: Arbovirus IFA IgM and Arbovirus IFA IgG Instructions for Use; Focus Diagnostics; Rev. 03, 02/17/2023)

Day(s) Performed

Monday through Friday

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

86651 x 2-California virus (La Crosse) encephalitis antibody, IgG and IgM

86652 x 2-Eastern equine encephalitis antibody, IgG and IgM

86653 x 2-St. Louis encephalitis antibody, IgG and IgM

86654 x 2-Western equine encephalitis antibody, IgG and IgM

Forms

If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.

Testing Algorithm

The following algorithms are available:

-Meningitis/Encephalitis Panel Algorithm

-Mosquito-borne Disease Laboratory Testing