Molecular Diagnostics | CMV Quantitative by PCR

UWHC Lab Test Details
Test NameCMV Quantitative by PCR
Test Code(s)HCCMVDNA
CPT Code(s)87497
MethodologyAptima
Clinical Information

Detect and quantitate CMV in blood.

 

The Aptima CMV Quant assay is an in vitro nucleic acid amplification test that uses real-time transcription mediated amplification (TMA) technology on the Hologic Panther system to quantify CMV DNA, genotypes 1, 2, 3, and 4. The primer design targets the highly conserved UL56 gene to ensure accurate quantitation of the CMV DNA.

Days PerformedMon-Fri.
In-Lab Turnaround Time2 - 3 days.
Stat In-Lab Turnaround TimeNot available stat.
Collection Requirements
Patient Preparation

Testing is performed Monday-Friday. Specimens received by the Molecular Diagnostic lab by 11:00am will be run same day. If received after 11:00am it will be held to following day.

SpecimenBlood
Collection Container
Collection ContainerLavender top
Also AcceptablePink top tube
Collection Volume6 mL
Pediatric Collection Volume2 mL
Specimen Processing Requirements
Stability
Stability Ambient

72 hours - Whole blood or Plasma

Stability Refrigerated

72 hours - Whole Blood

5 days - Plasma

Stability Frozen
Whole Blood Not Acceptable
Plasma

-20°C to -70°C  - 60days
Sample AnalyzedPlasma
Testing Volume3 mL
Pediatric Testing Volume1.2 mL
Specimen Processing

For optimal specimen, separate cell-free plasma from whole blood and transfer to a sterile polypropylene tube or Inpeco tube preferrably within 6 hours of collection. EDTA plasma may also be stored at 2°C to 8°C for up to 5 days or frozen -20°C to -70°C for 60 days.

Outreach Specimen Processing

Transport whole blood or separated plasma (preferred) at room temperature to laboratory using priority overnight delivery only.

Specimen Transport

Transport specimen to laboratory immediately. If frozen, transport separated plasma on dry ice and keep frozen.

Unacceptable Criteria

LIMIT: One specimen every 48 hours.

Interpretation
Expected Results

Not detected

 

The reported concentration of CMV virus particles in blood may indicate viremia levels and treatment efficacy.

Test Limitations

Analytical measurement range for this test is 53-10,000,000 IU/mL (1.72-7.00 log10 IU/mL) of plasma. 

 

Inadequate specimen collection, processing and storage may invalidate test results. This test should not be used as the only criterion to form a clinical conclusion; instead, results should be correlated with other test results, patient symptoms and clinical presentation.

Additional Information

For plasma samples in which CMV DNA is detected between the analytical measurement range (AMR), a quantitative value (IU/mL) will be reported. If CMV DNA is detected outside the analytical measurement range (AMR), a result of <53 IU/mL or >10,000,000 IU/mL will be reported.  If CMV DNA is not detected, a result of "Not Detected" will be reported.

   

A result of "not detected" does not rule out the presence of CMV DNA or the absence of infection. False negative results may be due to the suppression of viral replication to levels below the detection threshold, or to inhibitory substances that may be present in the specimen. Inadequate specimen collection, processing and storage may invalidate test results. This test should not be used as the only criterion to form a clinical conclusion, instead, results should be correlated with other test results, patient symptoms and clinical presentation.


   
Though rare, mutations within the highly conserved regions of the viral genome covered by the primers and/or probes in the Aptima CMV Quant assay may result in under quantification of or failure to detect the virus.

 

Refer to "Package Insert" to reference information concerning the Aptima CMV Quantative Assay.

 

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