Respiratory Panel PCR
Test Code: RP
CPT Code: 87633 001 87798 001 87486 001 87581 001
Synonym
Viral Respiratory Panel (VRP)
Specimen Handling
NOTE: Based upon Medicare guidance and variations in reimbursement and coverage by insurance providers, it is recommended that this panel be ordered on critaically ill or immunocompromised patients when other respiratory testing would not be sufficient to diagnose and treat, and the results would change the course of treatment.
Collected by Clinical Provider.
Obtain collection transport system from Microbiology Lab (213-0973).
Click on the Links field below for Nasopharyngeal Specimen Collection Guide.
Collected by Clinical Provider.
Obtain collection transport system from Microbiology Lab (213-0973).
Click on the Links field below for Nasopharyngeal Specimen Collection Guide.
Methodology
Polymerase Chain Reaction (PCR)
Stability
Ambient: 4 hours Refrigerated: 72 hours Frozen: 2 months
Reference Range Information
NEGATIVE
Schedule
Daily; All Shifts: Mission Hospital
Turn Around Time
Same Day
Department
Microbiology
Clinical Significance
Identification of the following:
Bordetella pertussis
Adenovirus
Influenzae A
Influenzae B
2009 H1N1
Chlamydophilia pneumoniae
Mycoplasma pneumoniae
Influenza A/H1
Influenza A/H3
Parainfluenza 1
Parainfluenza 2
Parainfluenza 3
Parainfluenza 4
Respiratory Syncytial Virus
Coronavirus HKU1
Coronavirus NL63
Coronavirus 229E
Coronavirus OC43
Human Metapneumonvirus
Human Rhinovirus/Enterovirus
Adenovirus
Current Type C,D
Precautions Duration: DI
Comments: Until 48 hours after the resolution of fever (>100°F) and respiratory symptoms, unless the fever is attributed to another clinical diagnosis.
Coronavirus
Current Type D
Precautions Duration Notify Infection Prevention
Comments: Corona virus associated with SARS (SARS-CoV) (see severe acute respiratory syndrome)
Enterovirus, Adults
Current Type S
Enterovirus, Infants & Children
Current Type C
Precautions Duration DI
Human Rhinovirus
Current Type D
Precautions Duration DI
Comments: Droplet most important route of transmission. Outbreaks have occurred in NICUs and LTCFs. For young infants, add Contact Precautions if copious moist secretions and close contact likely to occur.
Human Metapneumovirus
Current Type C
Precautions Duration DI
Comments: HAI reported but route of transmission not established. Assumes to be contact transmission as for RSV since the viruses are closely related and have similary clinical manifestations. Wear masks according to Standard Precautions.
Influenza A/Influenza B
Current Type U
Precautions Duration Influenza A/Influenza B
Comments: Single patient room when available or cohort; avoid placement with high-risk patients; mask patient when transported out of room; chemoprophylaxis/vaccine to control/prevent outbreaks. Use gown and gloves according to Standard Precautions may be especially important in pediatric settings. Duration of precautions for immunocompromised patients cannot be defined; prolonged duration of viral shedding (i.e. for several weeks) has been observed; implications for transmission are unknown.
Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, Parainfluenza 4
Current Type C
Precautions Duration DI
Comments: Viral shedding may be prolonged in immunosuppressed patients. Reliability of antigen testing to determine when to remove patients with prolonged hospitalizations from Contact Precautions uncertain. Protect mucous membranes by using mask and eye protection when patient is coughing or sneezing.
Respiratory Syncytial Virus
Current Type C,D
Precautions Duration DI
Comments: Contact and droplet isolation until the resolution of respiratory symptoms. In immunocompromised patients, extend the duration of Contact Precautions due to prolonged shedding. Reliability of antigen testing to determine when to remove patients with prolonged hospitalizations from Contact Precautions uncertain.
Bordetella pertussis
Current Type D
Precautions Duration U 5 days
Comments: After starting effective therapy. Single patient room preferred. Cohorting an option. Post-exposure chemoprophylaxis for household contacts and HCWs with prolonged exposure to respiratory secretions. Recommendations for Tdap vaccine in adults under development.
Chlamydophila pneumoniae
Current Type S
Comments: Outbreaks in institutionalized populations reported, rarely.
Mycoplasma pneumoniae
Current Type D
Precautions Duration DI
Legend: S = Standard; C = Contact; D = Droplet; A = Airborne; S&W = Soap & Water; CN = Culture Negative; DI = Duration of Illness; DA = Duration of Admission; U = Until
Bordetella pertussis
Adenovirus
Influenzae A
Influenzae B
2009 H1N1
Chlamydophilia pneumoniae
Mycoplasma pneumoniae
Influenza A/H1
Influenza A/H3
Parainfluenza 1
Parainfluenza 2
Parainfluenza 3
Parainfluenza 4
Respiratory Syncytial Virus
Coronavirus HKU1
Coronavirus NL63
Coronavirus 229E
Coronavirus OC43
Human Metapneumonvirus
Human Rhinovirus/Enterovirus
Adenovirus
Current Type C,D
Precautions Duration: DI
Comments: Until 48 hours after the resolution of fever (>100°F) and respiratory symptoms, unless the fever is attributed to another clinical diagnosis.
Coronavirus
Current Type D
Precautions Duration Notify Infection Prevention
Comments: Corona virus associated with SARS (SARS-CoV) (see severe acute respiratory syndrome)
Enterovirus, Adults
Current Type S
Enterovirus, Infants & Children
Current Type C
Precautions Duration DI
Human Rhinovirus
Current Type D
Precautions Duration DI
Comments: Droplet most important route of transmission. Outbreaks have occurred in NICUs and LTCFs. For young infants, add Contact Precautions if copious moist secretions and close contact likely to occur.
Human Metapneumovirus
Current Type C
Precautions Duration DI
Comments: HAI reported but route of transmission not established. Assumes to be contact transmission as for RSV since the viruses are closely related and have similary clinical manifestations. Wear masks according to Standard Precautions.
Influenza A/Influenza B
Current Type U
Precautions Duration Influenza A/Influenza B
Comments: Single patient room when available or cohort; avoid placement with high-risk patients; mask patient when transported out of room; chemoprophylaxis/vaccine to control/prevent outbreaks. Use gown and gloves according to Standard Precautions may be especially important in pediatric settings. Duration of precautions for immunocompromised patients cannot be defined; prolonged duration of viral shedding (i.e. for several weeks) has been observed; implications for transmission are unknown.
Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, Parainfluenza 4
Current Type C
Precautions Duration DI
Comments: Viral shedding may be prolonged in immunosuppressed patients. Reliability of antigen testing to determine when to remove patients with prolonged hospitalizations from Contact Precautions uncertain. Protect mucous membranes by using mask and eye protection when patient is coughing or sneezing.
Respiratory Syncytial Virus
Current Type C,D
Precautions Duration DI
Comments: Contact and droplet isolation until the resolution of respiratory symptoms. In immunocompromised patients, extend the duration of Contact Precautions due to prolonged shedding. Reliability of antigen testing to determine when to remove patients with prolonged hospitalizations from Contact Precautions uncertain.
Bordetella pertussis
Current Type D
Precautions Duration U 5 days
Comments: After starting effective therapy. Single patient room preferred. Cohorting an option. Post-exposure chemoprophylaxis for household contacts and HCWs with prolonged exposure to respiratory secretions. Recommendations for Tdap vaccine in adults under development.
Chlamydophila pneumoniae
Current Type S
Comments: Outbreaks in institutionalized populations reported, rarely.
Mycoplasma pneumoniae
Current Type D
Precautions Duration DI
Legend: S = Standard; C = Contact; D = Droplet; A = Airborne; S&W = Soap & Water; CN = Culture Negative; DI = Duration of Illness; DA = Duration of Admission; U = Until
Additional Information
Positive Bordetella pertussis results will be called upon verification.
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