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Rotavirus Antigen, Feces

Reporting Name

Rotavirus Ag, F
Seattle Children's Hospital Note:

SCH Clinical System Name: Miscellaneous Test

Useful For

Investigation of patients with diarrhea, particularly infants, the elderly, and immunocompromised patients

 

Investigation of nosocomial diarrhea

Testing Algorithm

For information on other diagnostic tests that may be useful in the evaluation of a patient with diarrhea, see Laboratory Testing for Infectious Causes of Diarrhea.

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Fecal


Specimen Required


Specimen Type: Fresh unpreserved feces

Supplies: Stool Collection Kit, Random (T635)

Container/Tube:

Preferred: Sterile fecal container

Acceptable: Swab

Specimen Volume: 5 to 10 grams

Collection Instructions: Place specimen in a tightly sealed plastic bag.


Specimen Minimum Volume

1 gram

Specimen Stability Information

Specimen Type Temperature Time Special Container
Fecal Frozen (preferred) 7 days
  Refrigerated  72 hours

Reference Values

Negative

Day(s) Performed

Monday through Friday

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

87425

LOINC Code Information

Test ID Test Order Name Order LOINC Value
ROTA Rotavirus Ag, F 5880-0

 

Result ID Test Result Name Result LOINC Value
24082 Rotavirus Ag, F 5880-0

Method Description

This US Food and Drug Administration-approved kit utilizes monoclonal antibodies in a solid-phase sandwich type enzyme immunoassay (EIA). Plastic microtiter wells are coated with a monoclonal antibody directed against the product of the sixth viral gene (VP6), which is the group-specific antigen for all known human rotaviruses. An aliquot of fecal suspension is added to the well and incubated simultaneously with an anti-rotavirus monoclonal antibody conjugated to horseradish peroxidase, resulting in the rotavirus antigen being sandwiched between the solid-phase and enzyme-linked antibodies. After 60 minutes incubation at ambient temperature, the specimen well is washed to remove unbound enzyme-labeled antibodies. Enzyme substrate (urea peroxidase) and chromogen tetra methylbenzidine are added to the wells and incubated for 10 minutes at ambient temperature. The enzyme bound in the wells converts the colorless substrate to a blue color. The intensity of the blue color is directly proportional to the concentration of rotavirus antigen in the specimen.(Package insert: Premier Rotaclone EIA for detection of Rotavirus Antigen in Human Fecal Samples. Meridian Bioscience; 01/2015)

Report Available

1 to 3 days

Reject Due To

Grossly bloody (containing no visible feces)
Very mucoid feces
Feces received in any preservative (example: Ecofix, formalin, PVA, C and S media)
Reject

Method Name

Enzyme Immunoassay (EIA)

Forms

If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:

-Microbiology Test Request (T244)

-Gastroenterology and Hepatology Test Request (T728)