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Test Code LAB342 CD4 (Helper/Inducer T-Cells)

Performing Laboratory

Barnes-Jewish Hospital Laboratory

Methodology

Profile Information:
CD4 CD4 Absolute

Method Name:

Flow Cytometry-Single Platform

Literature References:

1. U.S. Department of Health and Human Services, Public Health Service, CDC. Flow cytometric immunophenotyping quality assurance and quality procedures for CD4+ T-lymphocyte determinations. 04/1993.
2. NCCLS tentative guidelines. Clinical application of flow cytometry: quality assurance and immunophenotyping of peripheral blood lymphocytes. H42T 12:6.

3. MMWR Recommendation and Reports, Guidelines for performing single-platform absolute CD4 determination with CD45 gating for persons infected human immunodeficiency virus, January 21, 2003.

Specimen Requirements

Specimen must arrive within 24 hours of draw. Specimen must arrive by 1600 on Friday and 1 day before a holiday.

 

Specimen Type: Whole blood

Container/Tube: Lavender top (EDTA)

Specimen Volume: Full tube

Specimen Minimum Volume: 1 mL

Additional Information: Specimen cannot be refrigerated.

Day(s) Test Set Up

Monday through Friday
Cut-off time: 2100 Monday through Thursday; 1600 Friday and evening before a holiday

Turnaround Time:
STAT: not available
Routine: 48 hours

Test Classification and CPT Coding

86361

 

Reference Values

  Helper Cells
 (CD4)
0-3 Months  
Percentage: 35%-64%
Absolute (Cells/mcL): 1600-4000
3-6 Months  
Percentage: 35%-56%
Absolute (Cells/mcL): 1800-4000
6-12 Months  
Percentage: 31%-56%
Absolute (Cells/mcL): 1400-4300
1-2 Years  
Percentage: 32%-51%
Absolute (Cells/mcL): 1300-3400
2-6 Years  
Percentage: 28%-47%
Absolute (Cells/mcL): 700-2200
6-12 Years  
Percentage: 31%-47%
Absolute (Cells/mcL): 650-1500
12-17 Years  
Percentage: 31%-52%
Absolute (Cells/mcL): 530-1300
Adult  
Percentage: 31%-64%
Absolute (Cells/mcL): 365-1294

Specimen Transport Temperature

Ambient/Refrigerate NO/Frozen NO

Additional Information

For BJH Laboratory Use Only
Alternate Tube:

1 dark green-top (sodium heparin) tube

Analyte Stability:

Specimen cannot be refrigerated. Specimen must be processed within 72 hours of draw and kept at ambient temperature.

Laboratory Processing Instructions:
Test performed in BJH Flow Cytometry.