Florida Bureau of Public Health laboratories
Respiratory PCR Panel
Respiratory PCR panel is a lab developed test.
Analyte(s)
Respiratory syncytial virus (RSV), human parainfluenza-1 (HPIV-1), human
parainfluenza-2 (HPIV-2), human parainfluenza-3 (HPIV-3), adenovirus (AdV),
human metapneumovirus (hMPV), rhinovirus (RV), coronaviruses (seasonal CoV
HKU1, CoV NL63, CoV 229E, CoV OC43), enterovirus (EV), influenza viruses
Test Code
RSV: 9360, HPIV-1: 9260*, HPIV-2: 9290*, HPIV-3: 9320*, HAdV: 9025, hMPV: 9040*: RV: 9225*, EV: 1810, FLU: 9100, and COV: 9540
*The test cannot be ordered by external providers- it is added when specimens
participating in specific surveillance programs arrive at the lab
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.
Turn Around time
7-21 business days after receipt at the laboratory
Test note
If this analysis is selected, regardless of the test code entered, the laboratorian will determine which analytes to run based on the current algorithm and the patient’s medical history
Minimum Volume
.3 mL – at least 1 mL is preferred
Collection Media
Dacron swabs in viral transport media VTM or universal transport media (UTM).
Sterile container
Specimen Sources
Upper or lower respiratory swabs, nasal aspirate/wash, bronchoalveolar lavage,
tracheal aspirate, sputum, and autopsy samples
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
None
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
Due to the cross reaction between enteroviruses and rhinoviruses, depending on
test results it may be impossible to determine which virus is present.
Swabs with calcium alginate or cotton tips or with wooden shafts, can result in
inactivation of some viruses and inhibit some molecular assays.
Reference Range
Negative: No virus detected
Result Indicator
Positive: Name of virus detected
Negative: No virus detected
Reference lab
CDC if needed
Reflex testing
Adenovirus typing and RSV typing