Respiratory Pathogen Panel Molecular Detection, Extended

Synonyms

• BIOFIRE
• LAB1900
• RESPIRATORY PANEL
• RESPIRATORY VIRAL PANEL WITH COVID-19 BY NAT
• RESPIRATORY VIRAL/BACTI DETECTIONPANEL WITH COVID-19 BY NAT
• RVP

Cerner Name

Respiratory Viral/Bacti Detection Panel by NAT Inpatient

Clinical Info

This is a multiplex molecular panel which detects the following organisms: Influenza A (including subtypes), Influenza B, RSV, SARS-CoV-2, Adenovirus, Seasonal Coronaviruses, Rhinovirus/Enterovirus, Human Metapneumovirus, Parainfluenza virus 1-4, Mycoplasma pneumoniae, and Chlamydia pneumoniae.
For most patients with seasonal respiratory illness, the recommended test order is "Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection".

Specimen Sources

Eye, Left Eye, Right Nares Nasopharynx

Specimen Types

Conjunctiva Respiratory Swab

Specimen Volume

Container

Collection Instructions

Nasopharyngeal Swab 
1. Collect specimen using a flexible shaft nasopharyngeal flocked swab. 
2. Gently slide swab along floor of nose with very light pressure to nasopharyngeal wall to allow the swab to absorb secretions.
3. Rotate swab slowly two to three times and withdraw it.
4. Place the swab into a tube containing 3 mL of viral transport medium (M4 or UTM) close tightly.
5. Label tube with patient’s name (first and last), date and actual time of collection, and type of specimen.
6. Send specimen refrigerated.
7. Maintain sterility and forward promptly. Note: Specimen source is required on request form for processing.
 

Transport Instructions

Specimen Stability

Outpatient (Core Lab), North Shore, Lenox Hill, SIUH, Forest Hill, Valley Stream, Glen Cove, Plainview, Syosset, Mather, Peconic: 
Room Temperature (15-30C): 12 Hours (Genmark)
Refrigerated (2-8C): 10 Days (Genmark)
Frozen (-20C or -80C): 12 months (Genmark)
LIJMC, Northern Westchester, Phelps:
Room Temperature (15-25 C): 4 hours (Biofire)
Refrigerated (2-8C): 3 Days (Biofire)Frozen (-20C or -80C): 30 days (Biofire)

Methodology

Multiplex Amplified nucleic acid test that uses Polymerase Chain Reaction (PCR)
Pathogens detected include:

Influenza A virus (H1, H1-2009, H3)
Influenza B virus
Respiratory Syncytial Virus (RSV)
Human Metapneumovirus (hMPV)
Parainfluenza virus (Types 1, 2, 3, 4)
Rhinovirus/Enterovirus*
* Due to the similarity of the conserved genetic region in Rhinoviruses and Enteroviruses, these viruses cannot be differentiated and are reported together
SARS-CoV-2
Coronavirus (229E, HKU1, NL63, OC43)
Adenovirus
Chlamydia pneumoniae
Mycoplasma pneumoniae

Days Performed

Monday through Sunday

Performing Laboratories

Northwell Health Laboratories

CPT

87633
87486
87581
 
 

PDM

6350695

Ordering Instructions

This is a multiplex molecular panel which detects the following organisms: Influenza A (including subtypes), Influenza B, RSV, SARS-CoV-2, Adenovirus, Seasonal Coronaviruses, Rhinovirus/Enterovirus, Human Metapneumovirus, Par ainfluenza virus 1-4, Mycoplasma pneumoniae, and Chlamydia pneumoniae.

For most patients with seasonal respiratory illness, the recommended test order is "Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection".

Results

Result Interpretation

Forms

• Viral Respiratory Culture-V VCR change 3-5-2020