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Cytomegalovirus (CMV) Resistance Profile: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms CMV Resistance-5 Antiviral Meds
Cerner Primary MnemonicCMV Resistance-5 Antiviral Meds
EPIC Display NameCytomegalovirus (CMV) Resistance Profile: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir
Allscripts (AEHR) Order Name

CMV Resistance-5 Antiviral Meds

Sunrise Clinical Manager (SCM) Order Name

Cytomegalovirus (CMV) Resistance-5 Antiviral Me

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Foscarnet UL54
Cidofovir UL54
Ganciclovir UL54
Maribavir UL97
Letermovir UL56
Ganciclovir UL97
Clinical Info

The CMV Resistance measures: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir Human Cytomegalovirus (CMV) infections are a major cause of morbidity and mortality among immunocompromised patients. 

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender (EDTA) Top Tube Specimen: 2 mL plasma (0.2 mL min)   Samples must be received within 6 days of collection unless frozen

Transport Instructions

Refrigerated

Specimen Stability

7 Days room Temperature 7 Days Refrigerated 60 Days Frozen

Methodology

PCR followed by genotypic sequencing

Days Performed

TAT: 3 - 5 Days Patient outcomes depend on effective prophylaxis and treatment with antiviral therapies, including maribavir, letermovir, cidofovir, ganciclovir, valganciclovir and foscarnet. Additionally, letermovir is approved specifically for prophylactic use in hematopoietic stem cell transplant (HSCT) patients. Proper patient management requires rapid detection of resistance. Laboratory testing should be used to confirm the occurrence of drug resistance, as treatment modification based solely on clinical suspicion may result in added toxicity and increased complexity in patient management. The CMV Resistance: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir sequencing assay is designed to detect identified mutations in the UL54, UL56 and UL97 genes of CMV. The use of genotypic sequencing offers a rapid turnaround time, a broad range of antiviral resistance information, and the ability to provide information concerning new drugs as they become available

Performing Laboratory

Eurofins-Viracor

CPT

87910 x 3

PDM

235701

Desired Epic Build Cytomegalovirus (CMV) Resistance Profile: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir

Cerner Primary Mnemonic: CMV Resistance-5 Antiviral Meds
PDM 235701
Informatics - WorkgroupID Sendouts
Synonyms *CMV Resistance-5 Antiviral Meds
Display Name *Cytomegalovirus (CMV) Resistance Profile: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir
Order Entry Specimen Sources *
Blood Peripheral
Order Entry Specimen Types
Blood
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)The CMV Resistance measures: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir Human Cytomegalovirus (CMV) infections are a major cause of morbidity and mortality among immunocompromised patients. 
IP Orderable Yes
OP Orderable Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *micro
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
Foscarnet UL54 Foscarnet UL54 235701E
Cidofovir UL54 Cidofovir UL54 235701D
Ganciclovir UL54 Ganciclovir UL54 235701C
Maribavir UL97 Maribavir UL97 235701A
Letermovir UL56 Letermovir UL56 235701F
Ganciclovir UL97 Ganciclovir UL97 235701B

Actual Epic build

Procedure Id 114632
Pdm 235701
Order Display Name Cytomegalovirus (CMV) Resistance Profile: Maribavir, Letermovir, Ganciclovir, Foscarnet, Cidofovir
Procedure Name CYTOMEGALOVIRUS (CMV) RESISTANCE-5 ANTIVIRAL ME
Procedure Master Number LAB11121
Short Procedure Name CYTOMEGALOVIRUS (CMV) RESISTANCE-5 ANTIVIRAL ME
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms CMV RESISTANCE-5 ANTIVIRAL MEDS
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/114632
Ordering Instructions
Default Specimen Type Blood
Specimen Type Pick List Blood
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous
Specimen Source Default - Male Blood, Venous
Specimen Source Default - Female Blood, Venous
Specimen Source List
Op Specimen Source List
Ip Lab Test Components For Report
Op Lab Test Components For Report
Order Questions []
Order Questions Record Name
Inpatient Order Questions []
Inpatient Order Questions Record Name
Order Specific Question Override
Inpatient Question Override
Location Restrict List Ip
Location Restrict List Ip Record Name
Location Restrict List Include Ip
Location Restrict List Op
Location Restrict List Op Record Name
Location Restrict List Includes Op
Edp Amb Order Specific Questions Record Name
Edp Ip Order Specific Questions Record Name
Edp Ip Specimen Source Blood, Venous Blood, Central Line Blood, Arterial Blood, Capillary
Edp Op Specimen Source
Edp Ip Specimen Type Blood
Edp Op Specimen Type
Derived Edp Ip Buttons S Blood, Capillary Blood, Venous Blood, Central Line Blood, Arterial
Derived Edp Ip Buttons T Blood
Derived Edp Op Buttons S
Derived Edp Op Buttons T
Ip Orderable 1
Op Orderable 1
EPIC OP AOEs

EPIC IP AOEs

EPIC Components (results)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047802497.0 FOSCARNET UL54 FOSCARNET FOSCARNET UL54 235701E
3047801799.0 CIDOFOVIR UL54 CIDOFOVIR CIDOFOVIR UL54 235701D
3047802547.0 GANCICLOVIR UL54 GANC54 GANCICLOVIR UL54 235701C
3047803402.0 MARIBAVIR UL97 MARIBAV MARIBAVIR UL97 235701A
3047803265.0 LETERMOVIR UL56 LETERUL56 LETERMOVIR UL56 235701F
3047802548.0 GANCICLOVIR UL97 GANC97 GANCICLOVIR UL97 235701B