Test Code LAB927, LAB779 Cryptococcal Antigen, Cerebrospinal Fluid (CSF) or Serum
Performing Laboratory
Barnes-Jewish Hospital Laboratory
Methodology
Lateral Flow Assay
Note:
1. This assay does not differentiate Cryptococcus neoformans from Cryptococcus gattii.
2. For CSF specimens, order LAB927.
3. For serum specimens, order LAB779.
Testing Algorithm:
If specimen type is cerebrospinal fluid (CSF) then Mycology (fungal) culture, CSF (LAB7380) will be performed at an additional charge.
If assay is positive, titration will be performed to a maximum titer of 1:2560, at an additional charge.
Literature Reference:
Package Insert, IMMY, Inc., June, 2019.
Specimen Requirements
Specimen Type:
CSF: 1 mL in a sterile container. See CSF Collection Guidelines link under Special Instructions
Serum: 1 plain, red-top tube. 2 mL of serum.
Collection Procedure:
Note: Specimen source is required
CSF
- Aseptically collect >1 mL of CSF.
- Place specimen in a leak-proof, screw-capped sterile container.
- Maintain sterility and forward to lab promptly.
- If transport is delayed, keep specimen at room temperature.
- If patient was previously positive for Cryptococcus antigen within past 12 months, do not send additional specimen for testing as results should not be used to monitor treatment.
Serum
- Draw blood in plain red-top tube.
- Maintain sterility and forward to lab promptly.
- If transport delayed, keep specimen at room temperature.
- If patient was previously positive for Cryptococcus antigen within past 12 months, do not send additional specimen for testing.
Day(s) Test Set Up
Monday through Sunday
Turnaround Time:
STAT: not available
Routine: final report within 24 hours of receipt of specimen in the laboratory
Test Classification and CPT Coding
87899
87899-Titer (if required)
Reference Values
Negative for: Cryptococcus neoformans/Cryptococcus gattii antigen
Specimen Transport Temperature
Ambient
Additional Information
For BJH Laboratory Use Only
Minimum Volume: CSF: 0.5 mL in a leakproof screw-capped, sterile container.
Serum: 0.5 mL
Laboratory Processing Instructions:
Test performed in BJH Microbiology.