Jamestown Canyon IgM Antibody
| WSLH Department: | CDD - Communicable Disease Division |
| WSLH Test Code: | SS02261 |
| Availability: | Test is performed weekly |
| Turn-around Time: | 2-7 days |
| Recommended Uses: | Serodiagnosis of a recent Jamestown Canyon Encephalitis virus infection. The test is indicated for use in patients with sign and symptoms of meningitis (fever headache and stiff neck) or encephalitis (fever, headache, and altered mental status ranging from confusion to coma) with no other laboratory diagnosis, or the patient has a diagnosis of Guillain-Barr syndrome and no other laboratory diagnosis. |
| Contraindications: | Testing will not be performed as a screening test or on patients without symptoms of Jamestown Canyon virus infection. |
| Additional Tests Performed: |
| Patient Preparations: | Routine blood draw |
| Specimen Requirements: | CSF and 1-3 ml serum. The specimen should be kept cold (2-8 degrees C) or frozen (-20 degrees C). |
| Specimen Handling & Transport: | Specimens must be stored refrigerated (2-8C) and transported with frozen cool packs. They should be received within 48 hours of collection. Frozen specimen should be shipped on dry ice. |
| Collection Kit/Container: |
Sterile Transfer Tube
|
| Collection Instructions: | Specimens should be collected in the acute phase of illness (3 to 10 days after onset of symptoms). |
| Unacceptable Conditions: | Specimens received without cold packs or dry ice. Specimens collected post mortem are unacceptable for testing. |
| Requisition Form: |
CDD Requisition Form B
|
| Required Information: | Laboratory regulations require the following minimum information to be provided on the requisition form for a specimen to be accepted for testing: Patient name or unique identifier; date and time of collection, patient date of birth and sex, specimen type/site of collection, test request(s), clinician name and UPIN, and address for reporting results. Please be certain that name/identifier on the form matches that on the specimen label. |
| Results Include: | ** Negative: Test on single acute phase CSF or serum does not rule out infection. Lack of serological evidence of infection may reflect testing of acute phase specimen(s) obtained before development of an antibody response. ** Equivocal: It is recommended that a serum specimen be collected in 2-3 weeks for follow-up testing. ** Presumptive Positive: Serologic evidence for recent infection with Jamestown Canyon virus. ** Non-Specific: It is recommended that a serum specimen be collected in 2-3 weeks for follow-up testing. |
| Limitations: | The Presumptive Positive result may be due to cross reactivity with other members of the California serogroup viruses. The Presumptive Positive, Equivocal, and Non-Specific results must be confirmed by plaque-reduction neutralization testing (PRNT). The performance of this assay has not been established for ruling out diseases with similar symptoms, e.g., herpes simplex virus encephalitis, enterovirus encephalitis, bacterial meningitis, causes of non-infectious encephalitis, or post-infectious encephalitis. Negative results on a single acute phase specimen do not rule out infection, as specimen may have been obtained prior to the development of an antibody response. |
| Additional Tests Recommended: | Antibody testing for other individual arboviral agents (WNV, SLE, La Crosse, EEE, Powassan) is also recommended. |
| Additional Comments: | This test was developed and its performance characteristics verified at WSLH. It has not been cleared or approved by the U.S. Food and Drug Administration Specimens positive, equivocal or non-specific for Jamestown Canyon virus will be confirmed by PRNT at CDC. |
| Methodology: | IgM Antibody Capture Enzyme-Linked Immunosorbent assay (MAC-ELISA) |
| Includes: | Qualitative IgM antibody capture enzyme-linked immunosorbent assay for the detection of IgM antibodies in serum and cerebrospinal fluid (CSF) specific to Jamestown Canyon Encephalitis virus. |
| CPT Code: | 86790 |
| Price: | $145.00 |