Test Code Billings Clinic: 0181 Mayo: MCTGC Chlamydia trachomatis and Neisseria gonorrhoeae, Miscellaneous Sites, Nucleic Acid Amplification, Varies
Reporting Name
Misc C trach/N gonor Amplified RNAPerforming Laboratory
Mayo Clinic Laboratories in RochesterUseful For
Detecting Chlamydia trachomatis and Neisseria gonorrhoeae in non-US Food and Drug Administration-approved specimen types
This test is not intended for use in medico-legal applications.
This test is not useful for the detection of Chlamydia pneumoniae or other Chlamydia species.
Method Name
Transcription Mediated Amplification
Ordering Guidance
This test is used for specimens that are not US Food and Drug Administration (FDA) approved for this assay. Acceptable non-FDA-approved specimen types are ocular swabs, and peritoneal fluid.
For FDA-approved specimen types, order CGRNA / Chlamydia trachomatis and Neisseria gonorrhoeae, Nucleic Acid Amplification, Varies.
Necessary Information
Specimen source is required.
Specimen Required
Submit only 1 of the following specimens:
Specimen Type: Ocular (corneal/conjunctiva)
Supplies:
Aptima Unisex Swab Collection Kit (T583)
Aptima Multitest Swab Collection Kit (T584)
Container/Tube: Aptima Multitest Swab or Aptima Unisex Swab
Specimen Volume: Swab
Collection Instructions:
1. Swab site using Aptima Multitest Swab or Aptima Unisex Swab. Specimens must be collected using either one of these Aptima swabs.
Note: The white swab provided within the collection kit is a cleaning swab and should not be used for collection. Discard the white cleaning swab.
2. Place collection swab in transport tube provided with the collection kit. Snap off swab at score line so swab fits into closed tube.
3. Cap tube securely and label tube with patient's entire name and collection date and time.
4. Maintain specimen at 2 to 30° C (refrigerate temperature is preferred), transport within 60 days of collection.
Specimen Type: Peritoneal fluid (pelvic wash, cul-de-sac fluid)
Supplies: Aptima ThinPrep Transport Tube (T652)
Container/Tube: Aptima specimen transfer tube
Specimen Volume: 1 mL
Collection Instructions:
1. Transfer 1mL of specimen into the Aptima specimen transfer tube within 24 hours of collection.
2. Cap tube securely and label tube with patient's entire name and collection date and time.
3. Maintain specimen at 2 to 30° C (refrigerate temperature is preferred), transport within 30 days of collection.
Specimen Type
VariesSpecimen Minimum Volume
See Specimen Required
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Varies | Refrigerated (preferred) | APTIMA VIAL | |
Ambient | APTIMA VIAL | ||
Frozen | APTIMA VIAL |
Reject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.Reference Values
Negative
Interpretation
A positive result indicates the presence of nucleic acid from Chlamydia trachomatis and/or Neisseria gonorrhoeae and strongly supports a diagnosis of chlamydial/gonorrheal infection.
A negative result indicates the absence of nucleic acid from C trachomatis and/or N gonorrhoeae. A negative result does not exclude the possibility of infection. If clinical indications strongly suggest gonococcal or chlamydial infection, additional specimens should be collected for testing.
A result of inconclusive indicates that a new specimen should be collected.
The predictive value of an assay depends on the prevalence of the disease in any specific population. In settings with a high prevalence of sexually transmitted infections, positive assay results have a high likelihood of being true-positive results. In settings with a low prevalence of sexually transmitted infections, or in any setting in which a patient's clinical signs and symptoms or risk factors are inconsistent with gonococcal or chlamydial urogenital infection, positive results should be carefully assessed, and the patient retested by other methods (eg, culture for N gonorrhoeae) if appropriate.
This test has not been shown to cross react with commensal (nonpathogenic) Neisseria species present in the oropharynx.
Day(s) Performed
Monday through Sunday
Report Available
1 to 4 daysTest Classification
This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
87491 - Chlamydia trachomatis
87591 - Neisseria gonorrhoeae
87801 - If appropriate for government payers
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
MCTGC | Misc C trach/N gonor Amplified RNA | 64017-7 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
SRC11 | SOURCE: | 31208-2 |
SRC22 | SOURCE: | 31208-2 |
34507 | C. trach, Misc, Amplified RNA | 43304-5 |
34508 | N. gonorr, Misc, Amplified RNA | 43305-2 |
Forms
If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
MCRNA | C. trach, Misc, Amplified RNA | Yes | Yes |
MGRNA | N. gonorr, Misc, Amplified RNA | Yes | Yes |