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Orderable Name MTBXS Mycobacterium tuberculosis Complex, Molecular Detection and Rifampin Resistance, PCR, Sputum


Additional Testing Requirements


Mycobacterial culture is required for epidemiological strain typing and growth-based phenotypic antimicrobial susceptibility testing, including definitive rifampin results as well as results for other antimicrobials. If your facility is unable to perform a mycobacterial culture, order CTB / Mycobacteria and Nocardia Culture, Varies concurrently with this test.



Shipping Instructions


Specimen must arrive within 7 days of collection; if received greater than 7 days from collection, the specimen will be rejected.



Necessary Information


Specimen source is required.



Specimen Required


The high sensitivity of amplification by polymerase chain reaction requires the specimen to be processed in an environment in which contamination of the specimen by Mycobacterium tuberculosis DNA is unlikely.

 

Specimen Type: Sputum (undigested)

Container/Tube: Sterile container

Specimen Volume: 3 mL

Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 72 hours

Additional Information:

1. If a single specimen is being shared between mycobacterial culture, acid-fast smear, and/or M tuberculosis PCR, a minimum volume of 3 mL for the respiratory specimen is required. Specimen volumes less than indicated may decrease sensitivity of testing.

2. If insufficient volume is submitted, testing will be canceled.

 

Specimen Type: N-acetyl-L-cysteine/sodium hydroxide (NALC/NaOH)-digested sputum

Container/Tube: Sterile container

Specimen Volume: 3 mL

Collection Instructions:

1. Submit digested specimen treated with NALC/NaOH.

2. Clearly indicate on container and order form that specimen is a digested specimen.

Specimen Stability Information: Refrigerated 7 days

Additional Information:

1. If a single specimen is being shared between mycobacterial culture, acid-fast smear, and/or M tuberculosis PCR, a minimum volume of 3 mL for the respiratory specimen is required. Specimen volumes less than indicated may decrease sensitivity of testing.

2. If insufficient volume is submitted, testing will be canceled.


Useful For

Rapid detection of Mycobacterium tuberculosis DNA from respiratory specimens for the diagnosis of pulmonary tuberculosis

 

Presumptive detection of rifampin resistance based on the presence of resistance-associated mutations

Method Name

Real-Time Polymerase Chain Reaction (PCR)

Specimen Type

Sputum

Specimen Minimum Volume

1.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Sputum Refrigerated (preferred) 7 days
  Ambient  72 hours

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Reference Values

Negative

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 day

CPT Code Information

87556

87798

Forms

If not ordering electronically, complete, print, and send a Microbiology Test Request (T244) with the specimen.