Test Code LAB2232 Parvovirus B19, Molecular Detection, PCR, Varies
Additional Codes
PARVO
Useful For
Diagnosing parvovirus B19 infection
Performing Laboratory
Mayo Clinic Laboratories in RochesterSpecimen Type
VariesNecessary Information
Specimen source is required.
Specimen Required
Submit only 1 of the following specimens:
Preferred:
Specimen Type: Amniotic fluid
Container/Tube: Amniotic fluid container
Specimen Volume: 0.5 mL
Collection Instructions:
1. Do not centrifuge.
2. Label specimen as amniotic fluid.
Specimen Type: Spinal fluid
Container/Tube: Sterile vial
Specimen Volume: 0.5 mL
Collection Instructions:
1. Do not centrifuge.
2. Label specimen as spinal fluid.
Specimen Type: Synovial fluid
Container/Tube: Sterile vial or lavender top (EDTA)
Specimen Volume: 0.5 mL
Collection Instructions: Label specimen as synovial fluid.
Alternate:
Specimen Type: Bone marrow
Container/Tube: Sterile container or lavender top (EDTA)
Specimen Volume: 0.5 mL
Collection Instructions: Label specimen as bone marrow.
Specimen Minimum Volume
Amniotic Fluid, Bone Marrow, and Spinal Fluid 0.3 mL; Synovial fluid 0.5 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Varies | Refrigerated (preferred) | 7 days | |
Frozen | 7 days |
Reference Values
Negative
Day(s) Performed
Monday through Friday
CPT Code Information
87798
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
PARVO | Parvovirus B19 PCR | 9571-1 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
SRC73 | Source | 31208-2 |
83151 | Parvovirus B19 By Rapid PCR | 9571-1 |
Interpretation
A positive result indicates that parvovirus B19 DNA is present in the clinical sample. However, a positive result does not differentiate between actively replicating virus, transient infection that may be asymptomatic, or the presence of remnant viral nucleic acid.
A negative result suggests the absence of parvovirus B19 infection.
Method Description
Viral DNA is extracted from 0.2 mL of specimen by the MagNA Pure automated instrument (Roche Applied Science). LightCycler polymerase chain reaction (PCR) primers and probes detect target B19 DNA (nonstructural protein). The LightCycler instrument amplifies and monitors by fluorescence the development of target nucleic acid sequences after the annealing step during PCR cycling. This automated PCR system can rapidly detect (30-40 minutes) amplicon development through stringent air-controlled temperature cycling in capillary cuvettes. The detection of amplified products is based on the fluorescence resonance energy transfer (FRET) principle. For FRET product detection, a hybridization probe with a donor fluorophore, fluorescein, on the 3' end is excited by an external light source and emits light that is absorbed by a second hybridization probe with an acceptor fluorophore, LC-Red 640, at the 5' end. The acceptor fluorophore then emits a light of a different wavelength that can be measured with a signal that is proportional to the amount of specific PCR product. Melting curve analysis is performed following PCR amplification. Starting at 45° C, the temperature in the thermal chamber is slowly raised to 80° C and the fluorescence is measured at frequent intervals. Analysis of the PCR amplification and the probe melting curves is accomplished through the use of LightCycler software.(Soares RM, Durigon El, Bersano JG, Richtzenhain LG: Detection of porcine parvovirus DNA by the polymerase chain reaction assay using primers to the highly conserved nonstructural protein gene, NS-1. J Virol Methods. 1999 Mar;78(1-2):191-198)
Report Available
Same day/1 to 3 daysSpecimen Retention Time
1 weekReject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability. |
Method Name
Real-Time Polymerase Chain Reaction (PCR)/DNA Probe Hybridization
Forms
If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.