Florida Bureau of Public Health laboratories
Arbovirus Igg
Arbovirus IgG is a lab developed test.
Analyte(s)
Eastern equine encephalitis (EEE), St. Louis encephalitis (SLE), dengue (DEN), West Nile (WNV), and chikungunya (CHIK)
Test Code
DEN: 1690, WNV: 1698, CHIK: 1533, EEE: 1692 (Tampa only), or SLE: 1694 (Tampa Only)
Testing Location
Testing Department
Virology
Pre-approval Required?
Yes.
Requires prior approval from regional epidemiology and notification to the testing lab. Contact the local county health department (CHD) to start the process for approval.
Required Forms
BPHL Test Requisition, DH1847
Include all required fields, who authorized the testing, onset date, collection date, travel history, and symptoms.
Turn Around time
5 – 10 business days after receipt at the laboratory
Test note
If this analysis is selected, regardless of the test code entered, the laboratory will determine which analytes to run based on the current algorithm and the patient’s medical history.
Minimum Volume
Serum – minimum 1mL
3-5 mL (preferred) of whole blood
Collection Media
Serum: Vacutainer or serum separator tube (red/tiger topped tube)
Specimen Sources
Single or Paired sera*
Serum
Specimen Labeling
Specimen must be labeled with at least two unique patient identifiers, e.g., name and DOB.
Information on the specimen must match the requisition and/or test order.Â
Special SPecimen Preparation
*Paired Sera Collection:
1. First specimen (acute) collected in red top tube 1-3 days after onset of illness. Separate serum and store refrigerated at 28° C until second specimen is collected.
2. Second specimen (convalescent) collected in red top tube 10-14 days after first specimen.
3. Ship sera together overnight at 2-8° C
Storage Conditions
Store specimens at 2 – 8° C or frozen at -20° C or lower until time of shipment.
Packaging and Shipping
Specimens should be shipped on frozen ice packs at 2-8° C or frozen on dry ice at -20° C or lower. It the specimens were stored frozen, then they should be shipped frozen to avoid a freeze thaw cycle.
Separate specimens into different bags to help prevent cross contamination.
Include paperwork with specimens but separate them physically by placing the paperwork in the outer pocket of the biohazard bag.
unsatisfactory specimen
1) Requisition form was not fully completed with all required fields
2) No patient identification on specimen tube
3) Patient identifiers on the specimen do not match the requisition or test order
4) Specimen damaged or leaked in transit
5) Specimen was received outside the required temperature range
6) Specimen was received hemolyzed
Interferences and Limitations
Hemolysis
Reference Range
Negative: Not detected
Result Indicator
Positive
Equivocal
Inconclusive
Negative
Reference lab
CDC if needed
Reflex testing
None