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Test Code SPNEU Streptococcus pneumoniae Antigen, Random, Urine

Reporting Name

Streptococcus pneumoniae Ag, U

Useful For

Rapid diagnosis of pneumococcal pneumonia

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Ordering Guidance


Pneumococcal pneumonia is best diagnosed by sputum culture. For more information, see SPUTS / Bacterial Culture, Aerobic, Respiratory with Antimicrobial Susceptibilities, Varies.



Specimen Required


Supplies: Urine Tubes, 10 mL (T068)

Container/Tube: Plastic, 10-mL urine tube

Specimen Volume: 2 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative.

3. Excessively bloody or very turbid specimens containing protein, cells, or particulates will be canceled as they can inhibit the function of the test.

4. Centrifuging to remove particulates is not approved.

5. Specimens with any dyes or unnatural color are not acceptable and will be canceled.


Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 14 days
  Frozen  14 days
  Ambient  24 hours

Day(s) Performed

Sunday through Friday

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

87899

LOINC Code Information

Test ID Test Order Name Order LOINC Value
SPNEU Streptococcus pneumoniae Ag, U 77949-6

 

Result ID Test Result Name Result LOINC Value
83150 Streptococcus pneumoniae Ag, U 77949-6

Clinical Information

Streptococcus pneumoniae is the most frequently encountered bacterial agent of community-acquired pneumonia (CAP). Because of the significant morbidity and mortality associated with pneumococcal pneumonia, septicemia, and meningitis, it is important to have diagnostic test methods available that can provide a rapid diagnosis. In instances where empirical antibiotics are provided for CAP without culture confirmation of S pneumoniae, antigen testing may be useful.

Cautions

A negative result does not exclude Streptococcus pneumoniae infection.

 

A diagnosis of S pneumoniae infection must take into consideration all test results, culture results, and the clinical presentation of the patient.

 

S pneumoniae vaccine may cause false-positive results, especially in patients who have received the vaccine within 5 days of having the test performed.

 

This assay has not been validated for use with body fluids other than urine or cerebrospinal fluid.

 

The performance of this assay in patients who have received antibiotics for more than 24 hours has not been established.

 

The accuracy of this assay has not been proven in small children.

Report Available

Same day/1 day

Specimen Retention Time

14 days

Reject Due To

Gross hemolysis Reject
Turbid Dyes/unnaturally colored Reject

Method Name

Immunochromatographic Membrane Assay

Secondary ID

83150

Forms

If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.