Molecular Diagnostics | HIV-1 RNA, Quantitative (Viral Load)

UWHC Lab Test Details
Test NameHIV-1 RNA, Quantitative (Viral Load)
Test Code(s)XHIV1
CPT Code(s)87536
MethodologyAptima
Clinical Information

This test is not used for the diagnosis for HIV-1 infection. This test is used to determine viral burden in known HIV-1 positive patients.

 

Please contact clinical labs (608-263-7060) prior to adding on to make sure there is a usable specimen available.

Days PerformedTwice a week-days vary.
In-Lab Turnaround Time5 days.
Stat In-Lab Turnaround TimeNot available stat.
Collection Requirements
SpecimenBlood
Collection Container
Collection ContainerLavender top
Also AcceptablePink top tube
Collection Volume6 mL
Pediatric Collection Volume2 mL
Specimen Processing Requirements
Stability
Stability Ambient

Whole blood or Plasma - 24 hours

Stability Refrigerated

Whole Blood - 24 hours

Plasma - 5 days

Stability Frozen
Whole Blood Not acceptable
Plasma 90 days at -20 to -70°C
Sample AnalyzedPlasma
Testing Volume3 mL
Pediatric Testing Volume1.2 mL
Specimen Processing

Separate cell-free plasma from whole blood and transfer to a sterile polypropylene tube or inpeco tube within 24 hours of collection. EDTA plasma may be stored at either 2°C to 8°C for up to five days or frozen at -20°C for up to 60 days.

Outreach Specimen Processing

Transport frozen plasma on dry ice to Laboratory.

Specimen Transport

Transport specimen to Laboratory immediately.

Interpretation
Interpretive Guidelines

If HIV-1 is detected, two results are reported for each assay: a measured log copies/mL and a calculated copies/mL result.

 

 

Analytical measurement range of this assay is 30 - 10,000,000 copies/mL (1.47-7.00 log copies/mL). In patients where HIV-1 is detected but outside of the analytical measurement range (AMR), a result of <30 copies/mL or >10,000,000 copies/mL will be reported.  If no HIV-1 is detected, a result of "Not detected" will be reported.

 

Test Limitations

This assay is not a screening, confirmatory or test procedure for the diagnosis of HIV-1 infection.

 

Though rare, mutations within the highly conserved regions of the viral genome covered by primers and/or probes in the Aptima HIV-1 quant assay may result in underquantification of or failure to detect the virus.

Additional Information

Specimens are assayed using the Aptima HIV-1 Quant assay. This is a quantitative test for the HIV-1 RNA virus groups M, N and O.

 

This test is approved by the U.S. Food and Drug Administration.